Individual provider Active NPI

Jessie M Louis-Jean, MS, LMHC

  • Mental Health Counselor
  • Bay Shore, NY
National Provider Identifier
1265001481
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014478 Issued in NY
Practice address
1383 Peters Blvd
Bay Shore, NY 11706-4847
Phone
(347) 382-5239
NPI assigned
Jun 22, 2021
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014478 NY Primary

Addresses

Primary practice location

1383 Peters Blvd
Bay Shore, NY 11706-4847

Mailing address

1383 Peters Blvd
Bay Shore, NY 11706-4847
Phone (347) 382-5239

Other practice location 1

88 Terry Rd
Smithtown, NY 11787-3811
Phone (646) 856-9151

Other practice location 2

28 E Old Country Rd Ste 6
Hicksville, NY 11801-4292
Phone (646) 856-9151

Other names 1

  • Jessie M Louis-Jean Other name

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Louis-Jean, Ms, LMHC Mental Health CurrentSince Jul 22, 2025 Accepting new patients

Locations

28 E Old Country Rd
Ste 6
Hicksville, NY 11801
Phone (646) 856-9151

88 Terry Rd
Smithtown, NY 11787
Phone (516) 639-0925

88 Terry Rd
Ste 101
Smithtown, NY 11787
Phone (917) 686-2412

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1265001481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 PETERS BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064847",
            "telephone_number": "347-382-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 PETERS BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064847",
            "telephone_number": "347-382-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Terry Rd",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873811",
            "country_code": "US",
            "telephone_number": "646-856-9151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 E Old Country Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014292",
            "country_code": "US",
            "telephone_number": "646-856-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS-JEAN",
        "first_name": "JESSIE",
        "middle_name": "M",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "LOUIS-JEAN",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.