MR. KERRY THIBODEAUX (NPI# 1235697384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235697384 |
| Entity Type | Individual |
| Full Name | MR. KERRY THIBODEAUX |
| Credential | LPC |
| Practice Address |
700 Saint Landry St Lafayette LA 70506-4630 |
| Mailing Address |
516 E Pinhook Rd Lafayette LA 70501-8610 |
| Practice Telephone | 3372105145 |
| Mailing Telephone | 3375217580 |
| Mailing Fax Number | 3375217581 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3491 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 S Union St, Opelousas, LA 705706029 | 3376784004 | 3376783777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774192 | Kerry Thomas Thibodeaux | Surgery | 1270 Attakapas Dr, Ste 202, Opelousas, LA 70570-6549 | 2006-03-20 |
| Street Address |
700 SAINT LANDRY ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295107985 | Melinda Johnson Davis | Clinic/Center | 700 Saint Landry St, Lafayette, LA 70506 | 2015-10-21 |
| 1780291286 | Kim Ann Arguelles | Counselor | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-09-28 |
| 1992323125 | Jabriel Carson | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-07-14 |
| 1588282701 | Denise Comeaux Leger | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-07-14 |
| 1164040119 | Bethany M Common | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-07-07 |
| 1740814268 | Latanya Roberts | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-02-24 |
| 1447899364 | Jameka Mckinley | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-12-23 |
| 1225672223 | Doris Davis Robert | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-11-01 |
| 1346894631 | Mary Andrus | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-07-25 |
| 1114589801 | Victoria Warhurst | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1346701711 | Lacie Chappuis | Counselor | 143 Ridgeway Dr Ste 303, Lafayette, LA 70503-3410 | 2019-03-28 |
| 1518427434 | Janice Weber | Counselor | 143 Ridgeway Dr Ste 201, Lafayette, LA 70503-3414 | 2019-03-25 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| 1770051005 | Kerri Prejean | Counselor | 850 Kaliste Saloom Rd Ste 218, Lafayette, LA 70508-4230 | 2018-11-05 |
| 1750884094 | Courtney Miller | Counselor | 3112 W Pinhook Rd Ste B, Lafayette, LA 70508-3443 | 2018-03-13 |
| 1962913970 | Heather Cook | Counselor | 400 E Simpson St Ste 104, Lafayette, CO 80026-2359 | 2017-10-17 |
| 1851801377 | Wanda Faye Ventress | Counselor | 130 Chappuis Dr, Lafayette, LA 70501-3656 | 2017-10-11 |
| 1376901272 | Elizabeth Baumer | Counselor | 93 Magnate Drive, Lafayette, LA 70508 | 2016-02-05 |
| 1497120927 | Veronicle Lorena Guillory | Counselor | 412 Timber Creek Dr, Lafayette, LA 70506-5055 | 2015-12-09 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.