Active NPI
Jayme Liles LLC
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1386292019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JAYME LILES LLC
- Practice address
- 850 Kaliste Saloom Rd BLDG Suite116
Lafayette, LA 70508-4230 - Phone
- (337) 247-4370
- NPI assigned
- Aug 27, 2019
- Last updated
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayme Liles, LCSW
- Title
- Owner
- Phone
- (337) 247-4370
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
850 Kaliste Saloom Rd BLDG Suite116
Lafayette, LA 70508-4230
Mailing address
502 Woodvale Ave
Lafayette, LA 70503-3436
Phone (337) 247-4370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2514644 | Medicaid | LA |
Other names 1
- Inner Light Therapy Center LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
850 Kaliste Saloom Rd
Ste 116
Lafayette, LA 70508
Phone (337) 247-4370
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1871141663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1386292019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 WOODVALE AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033436",
"telephone_number": "337-247-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KALISTE SALOOM RD BLDG SUITE116",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084230",
"telephone_number": "337-247-4370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYME LILES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A",
"authorized_official_last_name": "LILES",
"authorized_official_first_name": "JAYME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-247-4370",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2514644",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inner Light Therapy Center LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lafayette, LA
- Jason J Tiel DC PLLC (Community Chiropractic of Lafayette)
- Jason Wonch OD and Associates a P C (Visionworks)
- Renee Rachelle Jaubert Lapointe, NP
- Jay Luke LLC
- Jay P Jaikishen MD PC
- Jayme Trahan, MD Professional Limited Liability Company (Jayme Trahan, MD)
- Allahyar Jazayeri, MD
- Mary Jazayeri, NP, CNM
- Claudius Jean Baptiste, MD
- Jean C. Ancelet LLC (Jean C. Ancelet MD LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.