Active NPI
Jacob Spencer Simon
- Mental Health Counselor
- Youngsville, LA
National Provider Identifier
1194450015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PLC10501
- Practice address
- 100 Sabal Palms Row Ste 100
Youngsville, LA 70592-6754 - Phone
- (337) 573-0636
- NPI assigned
- Jul 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC10501 | LA | Primary |
Addresses
Primary practice location
100 Sabal Palms Row Ste 100
Youngsville, LA 70592-6754
Mailing address
100 Sabal Palms Row Ste 100
Youngsville, LA 70592-6754
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | js.browncounseling@gmail.com | Health Information Exchange (HIE) | |
| Other URL | 16jsimon@gmail.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC10501 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1194450015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SABAL PALMS ROW STE 100",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705926754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SABAL PALMS ROW STE 100",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705926754",
"telephone_number": "337-573-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "JACOB",
"middle_name": "SPENCER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-24",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC10501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "js.browncounseling@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "100 Sabal Palms Row Ste 100",
"city": "Youngsville",
"state": "LA",
"country_code": "US",
"postal_code": "705926754",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "16jsimon@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Messaging",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "102 Saint George St",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "705064730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.