Organization Active NPI

Gracious Words Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
National Provider Identifier
1902423668
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRACIOUS WORDS COUNSELING, LLC
Practice address
465 Derby Dr
Lake Charles, LA 70615-4860
Phone
(337) 564-0513
Fax
(337) 564-0513
NPI assigned
Jun 29, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Katrina Holland Burks, LPCNPI 1952768665
Title
Counselor
Phone
(337) 564-0513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

465 Derby Dr
Lake Charles, LA 70615-4860

Mailing address

465 Derby Dr
Lake Charles, LA 70615-4860
Phone (337) 540-2190

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1902423668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 DERBY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154860",
            "telephone_number": "337-540-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 DERBY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154860",
            "telephone_number": "337-564-0513",
            "fax_number": "337-564-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS WORDS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "HOLLAND BURKS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "337-564-0513",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.