Individual provider Active NPI

Makayla Lewis

  • Mental Health Counselor
  • Jennings, LA
National Provider Identifier
1902590912
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
721260673 Issued in LA
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

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16827 LA
Clinical Social Worker 1041C0700X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
16827LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Clinic Psychiatry, LLC Single Specialty CurrentSince Jun 11, 2023 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.

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.

Verify at the official NPI Registry.