Active NPI
Jeannie Spracklen
- Mental Health Counselor
- Gretna, LA
National Provider Identifier
1326105099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2303
- Practice address
- 401 Whitney Ave.
Suite 306
Gretna, LA 70056 - Phone
- (337) 802-7570
- Fax
- (504) 309-7845
- NPI assigned
- Jan 2, 2007
- Last updated
- Apr 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2303 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 391 | LA |
Addresses
Primary practice location
401 Whitney Ave.
Suite 306
Gretna, LA 70056
Mailing address
P.O. Box 6744
New Orleans, LA 70174-6744
Phone (504) 309-7844
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 |
|---|---|---|---|
| 2303 | LA | MD | Mental Health Counselor |
| 391 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1326105099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6744",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701746744",
"telephone_number": "504-309-7844",
"fax_number": "504-309-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WHITNEY AVE.",
"address_2": "SUITE 306",
"city": "GRETNA",
"state": "LA",
"postal_code": "70056",
"telephone_number": "337-802-7570",
"fax_number": "504-309-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRACKLEN",
"first_name": "JEANNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "2303",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
- Southern Kidney Specialists - Gretna LLC
- Sparks Therapeutic Insights, LLC
- Specialized Therapies for Autism and Related Services
- Lakeshia Speed
- Spinecare Medical Group
- St Margarets Home Health and Hospice, LLC
- St. Margaret's Home Health and Hospice, LLC
- Gwendolyn St. Romain, P.T.
- St. Thomas Community Health Center, Inc.
- Chardia Stancliffe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.