Individual provider Active NPI

Jeannie Spracklen

  • Mental Health Counselor
  • Gretna, LA
National Provider Identifier
1326105099
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2303 Issued in LA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2303LAMDMental Health Counselor
391LAMDRegistered 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

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.

Verify at the official NPI Registry.