Sondra Denise Hayes, LPC, LMFT, LAC
Individual provider Active NPI Counselor · Clinton, LA
NPI 1871845784 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1871845784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2942 (LA)
- Practice address
- 12080 Marston St
Clinton, LA 70722-3217 - Phone
- (225) 278-2079
- Fax
- (225) 366-7695
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240302000389 | LA | Practitioner - Mental Health Counselor | 6103274204 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1072 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 967 | LA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients |
Locations
490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059
30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045
336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060
15649 Highway 440
Kentwood, LA 70444
603 9th St
Kentwood, LA 70444
Phone (985) 514-2085
15841 Highway 440
Kentwood, LA 70444
1459 Service Rd
Kentwood, LA 70444
Phone (888) 414-7247
721 Avenue G
Kentwood, LA 70444
Phone (985) 229-5501
5200 E Central Ave
Zachary, LA 70791
3775 Hemlock St
Zachary, LA 70791
Phone (225) 654-4036
1300 Independence Blvd
Zachary, LA 70791
4100 Bronco Ln
Zachary, LA 70791
Phone (225) 658-7552
6351 Main St
Zachary, LA 70791
Phone (225) 306-2055
4488 Rollins Place Rd
Zachary, LA 70791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 967 | LA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1072 | LA | |
| Mental Health Counselor | 101YM0800X | 2942 | LA | |
| Professional Counselor | 101YP2500X | 2942 | LA | |
| Marriage & Family Therapist | 106H00000X | 1125 | LA | |
| Counselor | 101Y00000X | 2942 | LA | Yes |
Addresses
Primary practice location
12080 Marston St
Clinton, LA 70722-3217
Mailing address
6001 Main St Unit 165
Zachary, LA 70791-5008
Phone (225) 278-2079
Other providers in Clinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.