Individual provider Active NPI

Jessica Killgore Alvendia, MS, LPC-S, NCC, CT

  • Professional Counselor
  • New Orleans, LA
National Provider Identifier
1013393149
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5855 Issued in LA
Practice address
6612 Canal Blvd
New Orleans, LA 70124-3212
Phone
(504) 650-1585
Fax
(504) 534-5995
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5855 LA Primary

Addresses

Primary practice location

6612 Canal Blvd
New Orleans, LA 70124-3212

Mailing address

6612 Canal Blvd
New Orleans, LA 70124-3212
Phone (504) 322-9374

Other practice location 1

2901 N Causeway Blvd Ste 302
Metairie, LA 70002-4842
Phone (504) 322-9374

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5855LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1013393149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 CANAL BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243212",
            "telephone_number": "504-322-9374",
            "fax_number": "504-534-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 CANAL BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243212",
            "telephone_number": "504-650-1585",
            "fax_number": "504-534-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 N Causeway Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700024842",
            "country_code": "US",
            "telephone_number": "504-322-9374",
            "fax_number": "504-534-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVENDIA",
        "first_name": "JESSICA",
        "middle_name": "KILLGORE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC-S, NCC, CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.