Jeannie Herman

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

01192014 Issued in LA

Practice address

1824 Benton Rd
Bossier City, LA 71111-3517

Phone

(318) 550-5132

Fax

(318) 550-5203

NPI assigned

Jun 20, 2016

Last updated

Jun 20, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Women of Diversity Inc

  • Pastoral Counselor
  • Bossier City, LA
  • NPI 1073963039
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1720438849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113517",
            "telephone_number": "318-550-5132",
            "fax_number": "318-550-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113517",
            "telephone_number": "318-550-5132",
            "fax_number": "318-550-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "LA",
            "license": "01192014",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "LA",
            "license": "01092014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASTORAL",
            "identifier": "06092014",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamiah Henderson
• Tramika Toniece Henderson
• Samuel Hendricks
• Caroline D Henry, OT
• Gerard Dayle Henry, M.D.
• Lindsey Hernandez, FNP-C
• Angela Herrick, RN
• Jennifer Lynn Hesser, LPC, LMFT, NCC
• Anthony Hicks
• Eumarcus Hicks

• Pastoral Counselor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Pastoral Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.