Princess La Faye McCormick-Lynch

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1919 Veterans Memorial Blvd Ste 302
Kenner, LA 70062-4003

Phone

(504) 399-1161

NPI assigned

Jan 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1790498822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS MEMORIAL BLVD STE 302",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624003",
            "telephone_number": "504-399-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 VETERANS MEMORIAL BLVD STE 302",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624003",
            "telephone_number": "504-399-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK-LYNCH",
        "first_name": "PRINCESS",
        "middle_name": "LA FAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17472",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@forevevercareresourcecenter.com",
            "affiliation": "Y",
            "endpointDescription": "Office Email",
            "affiliationName": "ForeverCare Resource Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1919 Veterans Memorial Blvd Ste 302",
            "city": "Kenner",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700624003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@forevercareresourcecenter.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1919 Veterans Memorial Blvd suite 302",
            "address_1": "1919 Veterans Memorial Blvd Ste 302",
            "city": "Kenner",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700624003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesse Collin Maynor
• Christian Antonio Mayorga, M.D.
• Danielle McAllister
• Jeannie R McCartney
• Cory S McClinton, PA-C
• Laura Folse McCormick, M.D.
• Mary Michelle McCrary, LPC
• John P McCrossen, M.D.
• Jamie Mitchell McDonald, APRN
• Achontyrausi B McFarland, CRNA

• Case Manager/Care Coordinator in Kenner, LA
• Providers in Kenner, 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 Jan 4, 2023; 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.