Individual provider Active NPI

Jessina Moette Fells

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1184152126
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4100 S Sherwood Forest Blvd Ste 201
Baton Rouge, LA 70816-0008
Phone
(225) 402-2436
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4100 S Sherwood Forest Blvd Ste 201
Baton Rouge, LA 70816-0008

Mailing address

38105 Post Office Rd Ste 8
Prairieville, LA 70769-4296
Phone (225) 402-2436

Other practice location 1

4021 We Heck Ct Ste B2
Baton Rouge, LA 70816-0405
Phone (225) 302-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002231 LA Practitioner - Mental Health Counselor 8527598689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Counseling and Consulting Services Mental Health CurrentSince Feb 3, 2025 Accepting new patients
Always Hope LLC Professional CurrentSince Apr 10, 2022 Accepting new patients
Vertical Outreach LLC PastSince Jul 28, 2019 Accepting new patients

Locations

4100 S Sherwood Frst
Ste 201
Baton Rouge, LA 70816
Phone (225) 402-2436

429 W Airline Hwy
#U
La Place, LA 70068
Phone (985) 224-3691

38105 Post Office Rd
Ste 8
Prairieville, LA 70769
Phone (225) 402-2436

Organizations & group practices 3

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1184152126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38105 POST OFFICE RD STE 8",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694296",
            "telephone_number": "225-402-2436",
            "fax_number": "225-302-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S SHERWOOD FOREST BLVD STE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160008",
            "telephone_number": "225-402-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4021 We Heck Ct Ste B2",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708160405",
            "country_code": "US",
            "telephone_number": "225-302-5804",
            "fax_number": "225-302-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLS",
        "first_name": "JESSINA",
        "middle_name": "MOETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "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 Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.