Active NPI
Jasmine Renee' Johnson, MS, PLPC
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1366890832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PLC10049
- Practice address
- 315 S College Rd
Lafayette, LA 70503-3212 - Phone
- (318) 547-9716
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | PLC10049 | LA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | PLC10049 | LA | Primary |
Addresses
Primary practice location
315 S College Rd
Lafayette, LA 70503-3212
Mailing address
1100 Robley Dr Apt 4208
Lafayette, LA 70503-5528
Phone (337) 412-2248
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Office | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC10049 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Guidance Group | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1871957787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1366890832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ROBLEY DR APT 4208",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035528",
"telephone_number": "337-412-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S COLLEGE RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033212",
"telephone_number": "318-547-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASMINE",
"middle_name": "RENEE'",
"name_prefix": "Ms.",
"credential": "MS, PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC10049",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "PLC10049",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Office",
"affiliation": "N",
"endpointDescription": "practice location",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "113 W Convent St",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "705016903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.