Jenifer Creppel Cass
Individual provider Active NPI Counselor · Tickfaw, LA
NPI 1184994279 · NPPES record last updated Apr 13, 2016
Key facts
- NPI
- 1184994279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 47285 Palm Dr
Tickfaw, LA 70466-4211 - Phone
- (985) 543-4730
- Fax
- (985) 543-4752
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
47285 Palm Dr
Tickfaw, LA 70466-4211
Mailing address
47285 Palm Dr
Tickfaw, LA 70466-4211
Phone (985) 543-4730
Other providers in Tickfaw, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2016. 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.