Individual provider Active NPI

Gayielle Johnson

  • Case Manager/Care Coordinator
  • Houma, LA
National Provider Identifier
1205207776
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
9766 Issued in LA
Practice address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone
(985) 879-3966
NPI assigned
Oct 9, 2015
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9766 LA
Case Manager/Care Coordinator 171M00000X 9766 LA Primary

Addresses

Primary practice location

235 Civic Center Blvd
Houma, LA 70360-5937

Mailing address

235 Civic Center Blvd
Houma, LA 70360-5937
Phone (985) 879-3966

Other practice location 1

209 N Broad St Ste A
New Orleans, LA 70119-5507
Phone (504) 577-1154

Other practice location 2

2740 Iberville St
New Orleans, LA 70119-5516
Phone (504) 821-8184

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

LicenseStateTypeSpecialty
9766LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Behavioral Health Services LLC Past Accepting new patients

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1205207776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-879-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-879-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195507",
            "country_code": "US",
            "telephone_number": "504-577-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 Iberville St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195516",
            "country_code": "US",
            "telephone_number": "504-821-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GAYIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "9766",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "9766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.