MS. TIFFANY LYNN THIBODEAUX LPC-S, NCC
NPI 1477807451
Counselor - Professional in Prairieville, LA

Active since October 30, 2012Opted out of Medicare · through Mar 23, 2028
17534 OLD JEFFERSON HWY STE B2, PRAIRIEVILLE, LA 70769(225) 244-9110(504) 335-0775 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2022, Feb 10, 2022, Aug 27, 2021 (3 updates tracked since 2021).

About Ms. Tiffany Lynn Thibodeaux Lpc-s, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TIFFANY LYNN THIBODEAUX LPC-S, NCC (NPI 1477807451) is an individual professional provider in Prairieville, Louisiana, licensed in Louisiana (5124) and active in the NPI registry since October 2012. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1477807451
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TIFFANY LYNN THIBODEAUXCredential: LPC-S, NCC
Location Address17534 OLD JEFFERSON HWY STE B2Prairieville, LA 70769-3978
Mailing Address17534 Old Jefferson Hwy Ste B2Prairieville, LA 70769-3978 · (225) 244-9110 · Fax (504) 335-0775
Fax(504) 335-0775
Sole ProprietorYes
Enumeration DateOctober 30, 2012
Last NPPES UpdateFebruary 19, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
NPI 1477807451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in LA · 5124
17534 OLD JEFFERSON HWY STE B2, Prairieville, LA 70769

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Tiffany Lynn Thibodeaux Lpc-s, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2026 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2026
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Social Worker (Clinical)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Counselor (Professional)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Counselor (Professional)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Counselor (Professional)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Counselor
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Counselor (Professional)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769
Counselor (Professional)
17534 OLD JEFFERSON HWY STE B2
PRAIRIEVILLE, LA 70769

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477807451, enumerated as an "individual" on October 30, 2012.

The provider is located at 17534 OLD JEFFERSON HWY STE B2 PRAIRIEVILLE, LA 70769 and the phone number is (225) 244-9110.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.