Individual provider Active NPI

Destyni Garrison

  • Case Manager/Care Coordinator
  • Monroe, LA
National Provider Identifier
1396268983
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2101 Tower Dr Ste B
Monroe, LA 71201-5045
Phone
(318) 323-1300
Fax
(318) 323-1400
NPI assigned
Jul 25, 2017
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LA
Behavior Analyst 103K00000X 010942639 LA
Case Manager/Care Coordinator 171M00000X LA Primary

Addresses

Primary practice location

2101 Tower Dr Ste B
Monroe, LA 71201-5045

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 1

204 Airport Rd
Vidalia, LA 71373-3449
Phone (318) 323-1300

Other practice location 2

17505 Old Jefferson Hwy
Prairieville, LA 70769-3930
Phone (985) 500-3130

Other practice location 3

128 Louisiana Ave
Ferriday, LA 71334-2826
Phone (318) 437-7157

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
010942639LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
People United of Louisiana, LLC PastSince Dec 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1396268983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TOWER DR STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015045",
            "telephone_number": "318-323-1300",
            "fax_number": "318-323-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "LA",
            "postal_code": "713733449",
            "country_code": "US",
            "telephone_number": "318-323-1300",
            "fax_number": "318-323-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17505 Old Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707693930",
            "country_code": "US",
            "telephone_number": "985-500-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Louisiana Ave",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342826",
            "country_code": "US",
            "telephone_number": "318-437-7157",
            "fax_number": "318-437-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "DESTYNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "010942639",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.