Petrina Jupiter, PSY.D

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594

Phone

(225) 250-5829

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Petrina Jupiter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Array of Hope Outreach Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1194173005
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1740859123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-250-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-250-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUPITER",
        "first_name": "PETRINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETRINA",
            "last_name": "JUPITER",
            "prefix": "PROF.",
            "credential": "CHRISTIAN COUNSELOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ryan Juneau, CNIM
• Lauren Adair Juneja, MD
• Sanjay Kumar Juneja, MD
• Dustin David Junot, CRNA
• Ka'Lynn Alexus Jupiter
• Stephen Jurasinski
• Jenna Jurecky
• Just Breathe Respiratory Services LLC
• Just Health
• Just Health

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.