Individual provider Active NPI

Jennifer Anne Mazzanti, MS, LPC, LAC, CATF

  • Professional Counselor
  • West Monroe, LA
National Provider Identifier
1770084113
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7266 Issued in LA
Practice address
209 Pine Grove Cir
West Monroe, LA 71291-7736
Phone
(318) 380-2486
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 7266 LA Primary

Addresses

Primary practice location

209 Pine Grove Cir
West Monroe, LA 71291-7736

Mailing address

209 Pine Grove Cir
West Monroe, LA 71291-7736
Phone (318) 380-2486

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
I20260321000004 LA Practitioner - Mental Health Counselor 1456835040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Crosley St
West Monroe, LA 71291-2913

209 Pine Grove Cir
West Monroe, LA 71291-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7266LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby House LLC CurrentSince Mar 11, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1770084113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PINE GROVE CIR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917736",
            "telephone_number": "318-380-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PINE GROVE CIR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917736",
            "telephone_number": "318-380-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZANTI",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "MS, LPC, LAC, CATF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.