Active NPI
Makayla Lewis
- Mental Health Counselor
- Jennings, LA
National Provider Identifier
1902590912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 721260673
- Practice address
- 1615 Johnson St
Jennings, LA 70546-3650 - Phone
- (337) 616-0225
- NPI assigned
- Jun 5, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 16827 | LA | |
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | 721260673 | LA | Primary |
Addresses
Primary practice location
1615 Johnson St
Jennings, LA 70546-3650
Mailing address
210 N Louisiana St
Abbeville, LA 70510-5119
Phone (337) 522-6919
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 |
|---|---|---|---|
| 16827 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Clinic Psychiatry, LLC | Single Specialty | Current | Accepting new patients |
| Resource Management Services, Inc. of Southwest Louisiana | Mental Health | Past | Accepting new patients |
Locations
1615 Johnson St
Jennings, LA 70546
Phone (337) 329-3085
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1841300225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1902590912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N LOUISIANA ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705105119",
"telephone_number": "337-522-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 JOHNSON ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463650",
"telephone_number": "337-616-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MAKAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "16827",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "721260673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.