Active NPI
Jaqwaylon Davenport
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1821453747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9251
- Practice address
- 850 Kaliste Saloom Rd Ste 121
Lafayette, LA 70508-4230 - Phone
- (337) 205-3244
- Fax
- (337) 800-1287
- NPI assigned
- Dec 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9251 | LA | Primary |
Addresses
Primary practice location
850 Kaliste Saloom Rd Ste 121
Lafayette, LA 70508-4230
Mailing address
850 Kaliste Saloom Rd Ste 121
Lafayette, LA 70508-4230
Phone (337) 205-3244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9251 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Insight Counseling LLC | Professional | Current | Accepting new patients |
| Resource Management Services, Inc. of Southwest Louisiana | Counselor | Past | Accepting new patients |
Locations
850 Kaliste Saloom Rd
Ste 121
Lafayette, LA 70508
Phone (337) 205-3244
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.
-
- Professional Counselor
- Lafayette, LA
- NPI 1518850338
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1841300225
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1821453747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 KALISTE SALOOM RD STE 121",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084230",
"telephone_number": "337-205-3244",
"fax_number": "337-800-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KALISTE SALOOM RD STE 121",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084230",
"telephone_number": "337-205-3244",
"fax_number": "337-800-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "JAQWAYLON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-18",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Krystal Ann Dauphine, MSW
- Linda Mae Dauphine, CIT 2352
- Africa Black Dauphiney, APRN
- Dave Joseph Barrrios III MD Apmc
- Amy Sydboten Davenport, DPT
- David and Eldredge ENT Specialists, LLC
- David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation
- David Ashley MD DMD Oral Surgery Group, PC
- David Ashton Reed, MD Internal Medicine LLC
- David G Baker MD Apmc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.