Individual provider Active NPI

Jonathon Brett Traylor, LPC

  • Professional Counselor
  • Minden, LA
National Provider Identifier
1265715817
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4235 Issued in LA
Practice address
415 Homer Rd
Minden, LA 71055-2933
Phone
(870) 310-2343
Fax
(888) 974-8128
NPI assigned
Sep 21, 2011
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4235 LA Primary

Addresses

Primary practice location

415 Homer Rd
Minden, LA 71055-2933

Mailing address

415 Homer Rd
Minden, LA 71055-2933
Phone (870) 310-2343

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
I20260107002705 LA Practitioner - Mental Health Counselor 7618463902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1004 Recreation Dr
Minden, LA 71055-5125
Phone (870) 310-2343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4235LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Traylor Counseling Services, LLC Professional CurrentSince Oct 20, 2025 Accepting new patients
Family Service Unlimited Past Accepting new patients

Locations

1004 Recreation Dr
Minden, LA 71055
Phone (870) 310-2343

Organizations & group practices 2

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1265715817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552933",
            "telephone_number": "870-310-2343",
            "fax_number": "888-974-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552933",
            "telephone_number": "870-310-2343",
            "fax_number": "888-974-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "JONATHON",
        "middle_name": "BRETT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.