Mylecka Shay Jefferson, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

9398 Issued in LA

Practice address

11616 Southfork Ave Ste 403
Baton Rouge, LA 70816-5241

Phone

(225) 261-7143

Fax

(225) 250-1026

NPI assigned

Dec 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Always Hope LLC

  • Professional Counselor
  • Prairieville, LA
  • NPI 1437766573
  Medicare reassignment
• Hco Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1821792912

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1922473099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MONROE ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700532307",
            "telephone_number": "504-309-6798",
            "fax_number": "504-407-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 SOUTHFORK AVE STE 403",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165241",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Monroe Str",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70053",
            "country_code": "US",
            "telephone_number": "504-309-6798",
            "fax_number": "504-407-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MYLECKA",
        "middle_name": "SHAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "9398",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "9398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922473099",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson Oaks Professional Services
• Athan Joseph Jefferson
• Eva Jefferson, FNP
• Jacqueline Jefferson, MA COUNSELOR
• John A Jefferson, LPC
• Sharon Jefferson
• Zaquoria D Jefferson
• Jeffrey S. Toler, D.D.S., Millerville Dental Group, a Professional Cor
• Edward E Jeffries, MD
• Konstantine Jegorov, CSFA/CST

• Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.