Individual provider Active NPI

Jennifer Lynne Schaefer, LPC, CCLS

  • Professional Counselor
  • Youngsville, LA
National Provider Identifier
1174220891
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9414 Issued in LA
Practice address
220 Santander Dr
Youngsville, LA 70592-2001
Phone
(832) 620-1548
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 9414 LA Primary

Addresses

Primary practice location

220 Santander Dr
Youngsville, LA 70592-2001

Mailing address

220 Santander Dr
Youngsville, LA 70592-2001
Phone (832) 620-1548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9414LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Oaks Coping LLC Professional CurrentSince Nov 24, 2024 Accepting new patients

Locations

1604 W Pinhook Rd
Lafayette, LA 70508
Phone (832) 620-1548

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1174220891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SANTANDER DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705922001",
            "telephone_number": "832-620-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SANTANDER DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705922001",
            "telephone_number": "832-620-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "LPC, CCLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.