Jennifer Ann Bacile, M.S., LPC, NCC
Individual provider Active NPI Mental Health Counselor · Mandeville, LA
NPI 1881241180 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1881241180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PLC7989 (LA)
- Practice address
- 847 Galvez St Ste E
Mandeville, LA 70448-4948 - Phone
- (985) 205-1030
- Fax
- (866) 598-4299
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC7989 | LA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC7989 | LA | Yes |
Addresses
Primary practice location
847 Galvez St Ste E
Mandeville, LA 70448-4948
Mailing address
847 Galvez St Ste E
Mandeville, LA 70448-4948
Phone (985) 205-1030
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All providers in Mandeville, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.