Jordyn Serigne Bollinger, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

221 Peacock Pointe
Thibodaux, LA 70301-6249

Phone

(504) 813-3892

NPI assigned

Apr 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1508391830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PEACOCK POINTE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016249",
            "telephone_number": "504-813-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PEACOCK POINTE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016249",
            "telephone_number": "504-813-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "JORDYN",
        "middle_name": "SERIGNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jordyn.bollinger@merakey.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Merakey Pennsylvania",
            "address_1": "221 Peacock Pointe",
            "city": "Thibodaux",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703016249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Bland
• Jake Blanton, LMSW
• Bloom Counseling LLC
• John R Bloss, M.D.
• Cynthia Bollinger
• Breanne Bonin
• Cierra Bonvillain
• Kaitlyn Bonvillain, OTR/L
• Peyton Bonvillain, DPT
• Allen T Borne, M.D.

• Counselor in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.