Christina Speyrer Thibodeaux, L.P.C., L.M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4540 Issued in LA

Practice address

1405 W Pinhook Rd Ste 108a
Lafayette, LA 70503-3100

Phone

(337) 849-0019

Fax

(337) 234-4038

NPI assigned

Jan 16, 2015

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Christina Speyrer Former name

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christina Thibodeaux, LPC LTD

  • Adult Mental Health Clinic/Center
  • Lafayette, LA
  • NPI 1366273385
  Medicare reassignment NPD Authorized official
• River Valley Psychology PLLC

  • Psychologist
  • Russellville, AR
  • NPI 1235424326
  NPD (past)

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1922497734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHERIDAN DR.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-849-0019",
            "fax_number": "479-567-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W PINHOOK RD STE 108A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033100",
            "telephone_number": "337-849-0019",
            "fax_number": "337-234-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "CHRISTINA",
        "middle_name": "SPEYRER",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1611170",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4540",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SPEYRER",
            "prefix": "MS.",
            "credential": "LPC-INTERN, LMFT-INT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Collins Thibodeaux, M.D.
• Brett Michael Thibodeaux, M.S., PLPC
• Brittin Thibodeaux, MD
• Catherine Thibodeaux, MD
• Celia Marie Thibodeaux, PT
• Dakota Thibodeaux
• Dana Lynn Thibodeaux, RD
• Darline Marie Thibodeaux, MS CCC SLP
• Elizabeth C Thibodeaux, LCSW
• Jeffrey J Thibodeaux, MD

• Mental Health Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.