Trinity Wellness Counseling LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRINITY WELLNESS COUNSELING LLC.

Practice address

902 C M Fagan Dr Ste G
Hammond, LA 70403-6043

Phone

(985) 474-4958

Fax

(985) 318-7617

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Kermindra L Maberry, LCSWNPI 1972956530

Title

Owner/ Authorized Agent

Phone

(985) 474-4958

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kermindra L Maberry, LCSW

  • Clinical Social Worker
  • Amite, LA
  • NPI 1972956530
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1942830757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61540 BENNETT RD",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "70422",
            "telephone_number": "985-474-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 C M FAGAN DR STE G",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036043",
            "telephone_number": "985-474-4958",
            "fax_number": "985-318-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61540 Bennett Rd",
            "address_purpose": "LOCATION",
            "city": "Amite",
            "state": "LA",
            "postal_code": "70422",
            "country_code": "US",
            "telephone_number": "985-474-4958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY WELLNESS COUNSELING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "MABERRY",
        "authorized_official_first_name": "KERMINDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED AGENT",
        "authorized_official_telephone_number": "985-474-4958",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eugene Traylor, LCSW
• Tambrey Traylor
• Vyrl L Traylor, G-NP
• Leonard Christopher Treanor, M.D.
• Christian Triay
• Itzel Triste
• Juan Jesus Triste
• Ashley Alia Trobaugh
• Jill Ann Truxillo, DDS
• Spencer Paul Tucker, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hammond, LA
• Providers in Hammond, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.