Individual provider Active NPI

Glenn Michael Tregre Jr., LPC

  • Professional Counselor
  • New Orleans, LA
National Provider Identifier
1871832717
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3864 Issued in LA
Practice address
3520 General Degaulle Dr
Suite 4070
New Orleans, LA 70114-6757
Phone
(504) 363-7449
Fax
(504) 363-7077
NPI assigned
Feb 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3864 LA Primary

Addresses

Primary practice location

3520 General Degaulle Dr
Suite 4070
New Orleans, LA 70114-6757

Mailing address

3594 Kenmore Dr
Paulina, LA 70763-2312
Phone (504) 253-1278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

158 Regal Row
Houma, LA 70360-6097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3864LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority CurrentSince Jan 1, 2024 Accepting new patients
South Central la Human Services Authority CurrentSince Jan 1, 2024 Accepting new patients
South Central la Human Services Authority Current Accepting new patients
Tiffany Thibodeaux LLC Professional Past Accepting new patients
Family Care Inc. Past Accepting new patients

Locations

805 Barrow St
Houma, LA 70360
Phone (985) 857-3615

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1871832717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 KENMORE DR",
            "city": "PAULINA",
            "state": "LA",
            "postal_code": "707632312",
            "telephone_number": "504-253-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4070",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-363-7449",
            "fax_number": "504-363-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGRE",
        "first_name": "GLENN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.