Individual provider Active NPI

Jizette Montrise Hall, M.A., LPC, LMFT, NCC

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1205996360
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2376 Issued in LA
Practice address
15654 Summerwood Ave
Baton Rouge, LA 70817-1547
Phone
(985) 414-2754
Fax
(504) 226-0786
NPI assigned
Dec 11, 2006
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2376 LA Primary
Marriage & Family Therapist 106H00000X 234 LA

Addresses

Primary practice location

15654 Summerwood Ave
Baton Rouge, LA 70817-1547

Mailing address

15654 Summerwood Ave
Baton Rouge, LA 70817-1547
Phone (985) 414-2754

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
I20240311002937 LA Practitioner - Marriage and Family Therapist 5799121935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

814 SW Evangeline Trwy
Suite 344
Lafayette, LA 70501-8240
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2376LAMDProfessional Counselor
234LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Feb 28, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707

Interoperability endpoints

  • Direct secure messaging: jizette.scott.1@11331.direct.athenahealth.com

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1205996360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15654 SUMMERWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171547",
            "telephone_number": "985-414-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15654 SUMMERWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171547",
            "telephone_number": "985-414-2754",
            "fax_number": "504-226-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JIZETTE",
        "middle_name": "MONTRISE",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC, LMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2376",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.