Active NPI
Jennifer Rochelle Glosson
- Case Manager/Care Coordinator
- Bastrop, LA
National Provider Identifier
1427570886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 617 E Madison Ave
Bastrop, LA 71220-3833 - Phone
- (318) 239-3890
- NPI assigned
- Jul 7, 2017
- Last updated
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
617 E Madison Ave
Bastrop, LA 71220-3833
Mailing address
911 Aquila Dr
Bastrop, LA 71220-3459
Other practice location 1
410 S Franklin St
Bastrop, LA 71220-4533
Phone (318) 281-6526
Other practice location 2
209 W Jefferson Ave
Bastrop, LA 71220-4543
Phone (318) 239-3890
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Development Center Behavioral Health Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1992187322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1427570886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 AQUILA DR",
"city": "BASTROP",
"state": "LA",
"postal_code": "712203459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 E MADISON AVE",
"city": "BASTROP",
"state": "LA",
"postal_code": "712203833",
"telephone_number": "318-239-3890"
}
],
"practiceLocations": [
{
"address_1": "410 S Franklin St",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "LA",
"postal_code": "712204533",
"country_code": "US",
"telephone_number": "318-281-6526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "209 W Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "LA",
"postal_code": "712204543",
"country_code": "US",
"telephone_number": "318-239-3890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOSSON",
"first_name": "JENNIFER",
"middle_name": "ROCHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.