NORTHLAKE COUNSELING AND CONSULTING, LLC (NPI# 1275957979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275957979 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE COUNSELING AND CONSULTING, LLC |
| Practice Address |
902 C M Fagan Dr Ste B Hammond LA 70403-6043 |
| Mailing Address |
485 S 8th St Ponchatoula LA 70454-3415 |
| Practice Telephone | 9856875226 |
| Mailing Telephone | 9856875226 |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |
| Authorized Official Name | JESSICA GANDOLFO (OWNER) |
| Authorized Official Telephone | 9856875226 |
| Authorized Official Credential | LPC-S, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2753 | LA | Agencies |
| Street Address |
902 C M FAGAN DR STE B |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-6043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114376621 | Terrica Brown | Community/Behavioral Health | 20433 Lullabye Ln, Hammond, LA 70401-4104 | 2016-06-06 |
| 1689020489 | O&m Family Care, LLC | Community/Behavioral Health | 12561 Wardline Road, Hammond, LA 70401 | 2016-05-11 |
| 1942663117 | Choices Behavior Health and Wellness, LLC | Community/Behavioral Health | 406 W Morris Ave, Ste B, Hammond, LA 70403-4150 | 2016-04-04 |
| 1215371398 | Merakey Pennsylvania | Community/Behavioral Health | 44617 S Airport Rd Ste C&d, Hammond, LA 70403-0311 | 2013-04-19 |
| 1740525831 | Inkreasing Ministry | Community/Behavioral Health | 24 Whitmar Dr, Hammond, LA 70401-1027 | 2012-11-30 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1154607547 | Addiction and Family Care, Inc. | Community/Behavioral Health | 3440 169th St, Hammond, IN 46323-2542 | 2011-10-29 |
| 1962646547 | New Horizons Youth Service Bureau, Inc. | Community/Behavioral Health | 47257 River Rd, Hammond, LA 70401-3901 | 2009-04-27 |
| 1982848875 | Paradym Senior Life, LLC | Community/Behavioral Health | 11139 Fost Lane, Hammond, LA 70403 | 2009-04-23 |
| 1750530846 | Rgw Counseling LLC | Community/Behavioral Health | 3680 179th St, Suite F, Hammond, IN 46323-3033 | 2008-09-12 |
| Find all providers in HAMMOND | ||||
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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.