Active NPI
Terry Jefferson
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1891166310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3801 Canal St Ste 325
New Orleans, LA 70119-6059 - Phone
- (504) 483-3558
- Fax
- (504) 525-4483
- NPI assigned
- Oct 9, 2015
- Last updated
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 14959 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3801 Canal St Ste 325
New Orleans, LA 70119-6059
Mailing address
40 Sharen PL
Westwego, LA 70094-5509
Phone (504) 353-2029
Other practice location 1
40 Sharen Pl
Westwego, LA 70094-5509
Phone (504) 353-2029
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 |
|---|---|---|---|
| 14959 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiring Behavioral Health Services | Past | Accepting new patients | |
| Aspiring Behavioral Health Services | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
- NPI 1053129601
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1275959900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1891166310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SHAREN PL",
"city": "WESTWEGO",
"state": "LA",
"postal_code": "700945509",
"telephone_number": "504-353-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 CANAL ST STE 325",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196059",
"telephone_number": "504-483-3558",
"fax_number": "504-525-4483"
}
],
"practiceLocations": [
{
"address_1": "40 Sharen Pl",
"address_purpose": "LOCATION",
"city": "Westwego",
"state": "LA",
"postal_code": "700945509",
"country_code": "US",
"telephone_number": "504-353-2029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFERSON",
"first_name": "TERRY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2021-01-12",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "14959",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.