Individual provider Active NPI

Joan Jurisich, LPC

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1730537317
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5900 Issued in LA
Practice address
913 S College Rd
Lafayette, LA 70503-3060
Phone
(337) 534-8140
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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 5900 LA Primary

Addresses

Primary practice location

913 S College Rd
Lafayette, LA 70503-3060

Mailing address

811 S Michot Dr
Lafayette, LA 70508-6445
Phone (337) 298-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250305003046 WA Practitioner - Mental Health Counselor 7810418936 Reassigns benefits to 1 organization
I20250424003882 LA Practitioner - Mental Health Counselor 7810418936 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
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care of Louisiana, LLC CurrentSince Apr 21, 2025 Accepting new patients
Sondermind, P.a. CurrentSince Feb 26, 2025 Accepting new patients
Senior Psychcare of Louisiana, LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

18180 Jefferson Hwy
Baton Rouge, LA 70817
Phone (225) 291-8474

1050 Medical Center Blvd
#C
Marrero, LA 70072
Phone (504) 347-0777

3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

Organizations & group practices 3

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1730537317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S MICHOT DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086445",
            "telephone_number": "337-298-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-534-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURISICH",
        "first_name": "JOAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.