Individual provider Active NPI

Jireia McCelos

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1104400324
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2211 Weymouth Dr Ste B
Baton Rouge, LA 70809-2017
Phone
(225) 923-3733
Fax
(225) 923-3735
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2211 Weymouth Dr Ste B
Baton Rouge, LA 70809-2017

Mailing address

2211 Weymouth Dr Ste B
Baton Rouge, LA 70809-2017
Phone (225) 923-3733

Other practice location 1

350 Main St
Baker, LA 70714-3767
Phone (225) 301-7525

Other identifiers 1

IdentifierTypeStateIssuer
600964601MedicaidLA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allstar Community Care, LLC PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1104400324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 WEYMOUTH DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092017",
            "telephone_number": "225-923-3733",
            "fax_number": "225-923-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 WEYMOUTH DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092017",
            "telephone_number": "225-923-3733",
            "fax_number": "225-923-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Main St",
            "address_purpose": "LOCATION",
            "city": "Baker",
            "state": "LA",
            "postal_code": "707143767",
            "country_code": "US",
            "telephone_number": "225-301-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCELOS",
        "first_name": "JIREIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600964601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.