Jennifer Melancon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

E4815 Issued in LA

Practice address

101 E Saint Peter St
Carencro, LA 70520-4008

Phone

(337) 520-2505

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Covenant Wellness Center, LLC

  • Massage Therapist
  • Carencro, LA
  • NPI 1245172618
  NPD (past) Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1194432914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E SAINT PETER ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204008",
            "telephone_number": "337-520-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SAINT PETER ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204008",
            "telephone_number": "337-520-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "E4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "covenantwellnesscenter9@gmail.com",
            "affiliation": "N",
            "endpointDescription": "our email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emails",
            "address_1": "101 E Saint Peter St",
            "city": "Carencro",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705204008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melancon Pharmacy Inc (Melancon Pharmacy)
• Chris B. Melancon, PD
• David S. Melancon, PD
• Edmond Melancon III, RPH
• Elizabeth Jeanne Melancon, CPHT
• Amy Ann Meneses, LCSW, C-SSWS
• Michele Lavergne DDS
• Abby Jolie Miller, PA-C
• Mitzi Nicole Miller, MS, CCC-SLP
• MLG Wellness & Caring Services

• Massage Therapist in Carencro, LA
• Providers in Carencro, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.