Individual provider Active NPI

Dalton Olivier, LPC

  • Professional Counselor
  • Thibodaux, LA
National Provider Identifier
1891467973
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9412 Issued in LA
Practice address
1101 Audubon Ave Ste S1
Thibodaux, LA 70301-4957
Phone
(985) 492-6170
Fax
(985) 492-6177
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 9412 LA Primary

Addresses

Primary practice location

1101 Audubon Ave Ste S1
Thibodaux, LA 70301-4957

Mailing address

1101 Audubon Ave Ste S1
Thibodaux, LA 70301-4957
Phone (985) 492-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922002101 LA Practitioner - Mental Health Counselor 9032613005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Coast Community Health Center IncGroup PAC ID 3870929193, 7 clinicians

Practice addresses (Care Compare)

605 Enterprise Dr
Suite C
Houma, LA 70360-5405
Phone (985) 360-3755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9412LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Coast Community Health Center Inc CurrentSince Jul 23, 2025 Accepting new patients
Life Coast Community Health Center Inc CurrentSince Jul 23, 2025 Accepting new patients

Locations

605 Enterprise Dr
Ste C
Houma, LA 70360
Phone (985) 360-3755

1101 Audubon Ave
Ste S1
Thibodaux, LA 70301
Phone (985) 447-6444

504 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-5667

Organizations & group practices 2

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1891467973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE STE S1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-492-6170",
            "fax_number": "985-492-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE STE S1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-492-6170",
            "fax_number": "985-492-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "DALTON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.