Individual provider Active NPI

Kathy Lynn Manuel, LICENSED PROFESSIONA

  • Professional Counselor
  • Eunice, LA
National Provider Identifier
1922306174
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6476 Issued in LA
Practice address
1686 Tiger Lane
Eunice, LA 70535
Phone
(832) 671-0067
Fax
(337) 468-0550
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6476 LA Primary
Professional Counselor 101YP2500X 65046 TX

Addresses

Primary practice location

1686 Tiger Lane
Eunice, LA 70535

Mailing address

411 S. 7TH St.
Eunice, LA 70535
Phone (832) 671-0067

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
I20250613003469 LA Practitioner - Mental Health Counselor 6608387949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Healthcare Solutions LLCGroup PAC ID 9133598055, 14 clinicians

Practice addresses (Care Compare)

724 W Magnolia St
Ville Platte, LA 70586-4320
Phone (337) 506-2294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6476LAMDProfessional Counselor
65046TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Healthcare Solutions LLC CurrentSince May 1, 2025 Accepting new patients
Innovations Counseling and Consulting PLLC Professional Past Accepting new patients

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1922306174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S. 7TH ST.",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "832-671-0067",
            "fax_number": "337-468-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 TIGER LANE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "832-671-0067",
            "fax_number": "337-468-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6476",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.