Individual provider Active NPI

Jade Eyler, MA,LPC

  • Counselor
  • Shreveport, LA
National Provider Identifier
1609320324
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6838 Issued in LA
Practice address
800 Spring St Ste 215
Shreveport, LA 71101
Phone
(318) 227-8390
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6838 LA Primary

Addresses

Primary practice location

800 Spring St Ste 215
Shreveport, LA 71101

Mailing address

1421 Lynchburg Cir BLDG N
Bossier City, LA 71112-3557
Phone (808) 754-9590

Other practice location 1

1421 Lynchburg Cir Bldg N
Bossier City, LA 71112-3557
Phone (808) 754-9590

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6838LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
MCS, PC Professional Past Accepting new patients
180 Health Partners , Inc Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1609320324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LYNCHBURG CIR BLDG N",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711123557",
            "telephone_number": "808-754-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 215",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-227-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Lynchburg Cir Bldg N",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711123557",
            "country_code": "US",
            "telephone_number": "808-754-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYLER",
        "first_name": "JADE",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.