Individual provider Active NPI

Jennifer Varner, B.A, M.A

  • Professional Counselor
  • Alexandria, LA
National Provider Identifier
1053782763
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6116 Issued in LA
Practice address
3600 Jackson St Ste 119
Alexandria, LA 71303-3096
Phone
(318) 625-7050
Fax
(318) 625-7197
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LA
Professional Counselor 101YP2500X 6116 LA Primary

Addresses

Primary practice location

3600 Jackson St Ste 119
Alexandria, LA 71303-3096

Mailing address

3124 Marye St
Alexandria, LA 71301-4932
Phone (318) 277-1765

Other practice location 1

3124 Marye St
Alexandria, LA 71301-4932
Phone (318) 277-1765

Other names 1

  • Jennifer Baum Other name

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
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
6116LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1053782763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 MARYE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014932",
            "telephone_number": "318-277-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JACKSON ST STE 119",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033096",
            "telephone_number": "318-625-7050",
            "fax_number": "318-625-7197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 Marye St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713014932",
            "country_code": "US",
            "telephone_number": "318-277-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNER",
        "first_name": "JENNIFER",
        "credential": "B.A, M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BAUM",
            "credential": "B.A, M.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.