Active NPI
Jordan Taylor Dupont, CIT-5725
- Addiction (Substance Use Disorder) Counselor
- Sorrento, LA
National Provider Identifier
1295567741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CIT-5725
- Practice address
- 7384 John Leblanc Blvd
Sorrento, LA 70778-3231 - Phone
- (225) 310-2600
- NPI assigned
- Aug 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT-5725 | LA | Primary |
Addresses
Primary practice location
7384 John Leblanc Blvd
Sorrento, LA 70778-3231
Mailing address
7384 John Leblanc Blvd
Sorrento, LA 70778-3231
Phone (225) 310-2600
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
| License | State | Type | Specialty |
|---|---|---|---|
| CIT-5725 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1295567741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7384 JOHN LEBLANC BLVD",
"city": "SORRENTO",
"state": "LA",
"postal_code": "707783231",
"telephone_number": "225-310-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7384 JOHN LEBLANC BLVD",
"city": "SORRENTO",
"state": "LA",
"postal_code": "707783231",
"telephone_number": "225-310-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "JORDAN",
"middle_name": "TAYLOR",
"credential": "CIT-5725",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "CIT-5725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sorrento, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.