Individual provider Active NPI

Gloria J Mayrand, LPC, LAC, NCC

  • Professional Counselor
  • Morgan City, LA
National Provider Identifier
1932439247
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2926 Issued in LA
Practice address
777 Delmar Rd
Morgan City, LA 70380-5342
Phone
(985) 498-1506
Fax
(985) 399-0172
NPI assigned
Jan 8, 2010
Last updated
Jan 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1127 LA
Professional Counselor 101YP2500X 2926 LA Primary

Addresses

Primary practice location

777 Delmar Rd
Morgan City, LA 70380-5342

Mailing address

220 Southeast Blvd
Apt. #2
Morgan City, LA 70380-5658
Phone (985) 498-1506

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

LicenseStateTypeSpecialty
1127LAMDAddiction (Substance Use Disorder) Counselor
2926LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1932439247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SOUTHEAST BLVD",
            "address_2": "APT. #2",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703805658",
            "telephone_number": "985-498-1506",
            "fax_number": "985-399-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 DELMAR RD",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703805342",
            "telephone_number": "985-498-1506",
            "fax_number": "985-399-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYRAND",
        "first_name": "GLORIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPC, LAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1127",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.