Individual provider Active NPI

Jazmin Gutierrez-Kennedy, LPC

  • Professional Counselor
  • Metairie, LA
National Provider Identifier
1841923372
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8198 Issued in LA
Practice address
4200 S I 10 Service Rd W Ste 248
Metairie, LA 70001-1237
Phone
(504) 512-0413
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 8198 LA Primary

Addresses

Primary practice location

4200 S I 10 Service Rd W Ste 248
Metairie, LA 70001-1237

Mailing address

2105 Division St
Metairie, LA 70001-2767
Phone (504) 512-0413

Other names 1

  • Jazmin Gutierrez Professional name

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

LicenseStateTypeSpecialty
8198LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1841923372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 DIVISION ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012767",
            "telephone_number": "504-512-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S I 10 SERVICE RD W STE 248",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011237",
            "telephone_number": "504-512-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-KENNEDY",
        "first_name": "JAZMIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZMIN",
            "last_name": "GUTIERREZ",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.