Organization Active NPI

Jovin Healthcare and Behavioral Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1376222901
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JOVIN HEALTHCARE AND BEHAVIORAL SERVICES LLC
Practice address
7715 Tom Dr Ste C
Baton Rouge, LA 70806-2321
Phone
(225) 256-4764
Fax
(225) 960-1323
NPI assigned
Jul 12, 2023
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JUDY EDOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Judy Carol EdoNPI 1588165575
Title
Business Owner
Phone
(225) 256-4764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7715 Tom Dr Ste C
Baton Rouge, LA 70806-2321

Mailing address

7715 Tom Dr Ste C
Baton Rouge, LA 70806-2321
Phone (225) 256-4764

Other identifiers 1

IdentifierTypeStateIssuer
2474260MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240212000575 LA Part B Supplier - Clinic/Group Practice 5890138481 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Part of
Jovin Healthcare and Behavioral Services LLC

Locations

3557 Monterrey Dr
Baton Rouge, LA 70814
Phone (225) 218-4992

7715 Tom Dr
Baton Rouge, LA 70806
Phone (225) 923-3660

7715 Tom Dr
Ste C
Baton Rouge, LA 70806
Phone (225) 256-4764

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1376222901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 TOM DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062321",
            "telephone_number": "225-256-4764",
            "fax_number": "225-960-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 TOM DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062321",
            "telephone_number": "225-256-4764",
            "fax_number": "225-960-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOVIN HEALTHCARE AND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUDY EDO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "EDO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "225-256-4764"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2474260",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.