Individual provider Active NPI

Jasmine Travis, LPC, CMHC, LCPC

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1639607419
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7008 Issued in LA
Practice address
2320 Drusilla Lane
Suite a #1027
Baton Rouge, LA 70809-2045
Phone
(225) 399-2085
NPI assigned
May 24, 2017
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LA
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7008 LA Primary
Professional Counselor 101YP2500X 7008 LA

Addresses

Primary practice location

2320 Drusilla Lane
Suite a #1027
Baton Rouge, LA 70809-2045

Mailing address

PO Box 42045
Baton Rouge, LA 70835-2045
Phone (337) 298-1326

Other identifiers 2

IdentifierTypeStateIssuer
12892457-6004OtherUTLCPC
CP5644-ROtherNVCMHC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415000756 LA Practitioner - Mental Health Counselor 5799124483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

814 SW Evangeline Trwy
Suite 344
Lafayette, LA 70501-8240
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Counseling, LLC Counselor Current Accepting new patients
Brightside Medical, P.C. Single Specialty CurrentSince Mar 4, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

2320 Drusilla Ln
Ste A
Baton Rouge, LA 70809
Phone (225) 255-0899

814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707

3172 N Rainbow Blvd
Las Vegas, NV 89108
Phone (702) 801-9628

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, 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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1639607419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42045",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708352045",
            "telephone_number": "337-298-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DRUSILLA LANE",
            "address_2": "SUITE A #1027",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092045",
            "telephone_number": "225-399-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JASMINE",
        "credential": "LPC, CMHC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7008",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "12892457-6004",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMHC LICENSE",
            "identifier": "CP5644-R",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.