Individual provider Active NPI

Jessica S Lee, LPC

  • Professional Counselor
  • Mandeville, LA
National Provider Identifier
1689239535
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4595 Issued in LA
Practice address
22532 Highway 1088
Mandeville, LA 70448-8450
Phone
(985) 705-7736
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4595 LA Primary

Addresses

Primary practice location

22532 Highway 1088
Mandeville, LA 70448-8450

Mailing address

528 Ruelle CT
Madisonville, LA 70447-3182

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://instarcounseling.wordpress.com

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
4595LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Instar Counseling of the Northshore Professional 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1689239535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 RUELLE CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22532 HIGHWAY 1088",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704488450",
            "telephone_number": "985-705-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://instarcounseling.wordpress.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "22532 Highway 1088",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704488450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.