Jasmine Adams – Case Manager/Care Coordinator

Key facts

NPI: 1114535804
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Practice address: 931 Westwood Dr Ste E
Marrero, LA 70072-2400
Phone: (504) 340-8880
NPI assigned: Jul 19, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Lighthouse Community Care Community/Behavioral Health Agency · Baton Rouge, LA · NPI 1255681128

NPD
Acidom Consulting Group Mental Health Clinic/Center (Including Community Mental Health Center) · Marrero, LA · NPI 1669728051

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Lighthouse Community Care		Current since Aug 1, 2020	Accepting new patients
Acidom Consulting Group		Past since Oct 5, 2021	Accepting new patients

Locations

1126 Commercial Dr
Ste 2
Hammond, LA 70403
Phone (985) 542-3131

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X
Case Manager/Care Coordinator	171M00000X			Yes

Addresses

Primary practice location

931 Westwood Dr Ste E
Marrero, LA 70072-2400

Mailing address

1126 Commercial Dr Ste 2
Hammond, LA 70403-5972

Other practice location 1

1126 Commercial Dr Ste 2
Hammond, LA 70403-5972
Phone (985) 956-7560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2021.

{
    "created_epoch": "1595116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1114535804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 COMMERCIAL DR STE 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 WESTWOOD DR STE E",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722400",
            "telephone_number": "504-340-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 Commercial Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704035972",
            "country_code": "US",
            "telephone_number": "985-956-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-19",
        "last_updated": "2021-09-28",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

All providers in Marrero, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.