Active NPI
Sally S. Creed, LPC
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1891706164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5636
- Practice address
- 322 Heymann Blvd
Suite 15
Lafayette, LA 70503-2465 - Phone
- (337) 806-3690
- Fax
- (337) 205-8596
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11261 | TX | |
| Professional Counselor | 101YP2500X | 5636 | LA | Primary |
Addresses
Primary practice location
322 Heymann Blvd
Suite 15
Lafayette, LA 70503-2465
Mailing address
322 Heymann Blvd # 15
Lafayette, LA 70503-2465
Phone (337) 806-3690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11261 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 5636 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1891706164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 HEYMANN BLVD # 15",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032465",
"telephone_number": "337-806-3690",
"fax_number": "337-205-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 HEYMANN BLVD",
"address_2": "SUITE 15",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032465",
"telephone_number": "337-806-3690",
"fax_number": "337-205-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREED",
"first_name": "SALLY",
"middle_name": "S.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11261",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.