Active NPI
Jonathan Medine
- Mental Health Counselor
- Denham Springs, LA
National Provider Identifier
1306793443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PLC10371
- Practice address
- 215 North St
Denham Springs, LA 70726-4347 - Phone
- (225) 243-5363
- NPI assigned
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC10371 | LA | Primary |
Addresses
Primary practice location
215 North St
Denham Springs, LA 70726-4347
Mailing address
30665 Walker Rd N
Walker, LA 70785-5602
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 |
|---|---|---|---|
| PLC10371 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1306793443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30665 WALKER RD N",
"city": "WALKER",
"state": "LA",
"postal_code": "707855602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NORTH ST",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264347",
"telephone_number": "225-243-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINE",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC10371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.