Organization Active NPI

JBL Therapeutic Center, Inc.

  • Mental Health Counselor
  • Terrytown, LA
National Provider Identifier
1891187746
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4400 Issued in LA
Legal business name
JBL THERAPEUTIC CENTER, INC.
Practice address
1799 Stumpf Blvd
Building 4, Suite 5
Terrytown, LA 70056-3950
Phone
(504) 344-5651
Fax
(504) 373-5474
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Melva McKinney-Young, LPC
Title
President
Phone
(504) 344-5651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4400 LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd
Building 4, Suite 5
Terrytown, LA 70056-3950

Mailing address

1799 Stumpf Blvd
Building 4, Suite 5
Terrytown, LA 70056-3950
Phone (504) 344-5651

National Provider Directory

National Provider Directory

Locations

1799 Stumpf Blvd
Bldg 4
Terrytown, LA 70056
Phone (504) 344-5651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1891187746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BUILDING 4, SUITE 5",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-344-5651",
            "fax_number": "504-373-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BUILDING 4, SUITE 5",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-344-5651",
            "fax_number": "504-373-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBL THERAPEUTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY-YOUNG",
        "authorized_official_first_name": "MELVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-344-5651",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.