Organization Active NPI

Jewish Family Service

  • Professional Counselor
  • Mandeville, LA
National Provider Identifier
1215069406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2444 Issued in LA
Legal business name
JEWISH FAMILY SERVICE
Practice address
1403 N Causeway Blvd
Mandeville, LA 70471-3103
Phone
(985) 264-1619
Fax
(985) 727-4646
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deena Gerber, L.C.S.W.
Title
Executive Director
Phone
(504) 831-8475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2444 LA Primary

Addresses

Primary practice location

1403 N Causeway Blvd
Mandeville, LA 70471-3103

Mailing address

3330 W Esplanade Ave S
Suite 600
Metairie, LA 70002-3454
Phone (504) 831-8475

Other identifiers 1

IdentifierTypeStateIssuer
2444OtherLAL.P.C.

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service of Greater New Orleans Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1403 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 264-1619

3330 W Esplanade Ave S
Ste 600
Metairie, LA 70002
Phone (504) 524-8475

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215069406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W ESPLANADE AVE S",
            "address_2": "SUITE 600",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023454",
            "telephone_number": "504-831-8475",
            "fax_number": "504-831-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713103",
            "telephone_number": "985-264-1619",
            "fax_number": "985-727-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-831-8475",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.P.C.",
            "identifier": "2444",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.