Active NPI
Toni J Watson I, MS, CAC
- Case Manager/Care Coordinator
- Jena, LA
National Provider Identifier
1922588607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3683 S First St
Jena, LA 71342-6409 - Phone
- (318) 992-2263
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5014 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3683 S First St
Jena, LA 71342-6409
Mailing address
10627 Hwy 71 South
Cheneyville, LA 71325
Phone (318) 279-2751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171MOOOOOX | Medicaid | LA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairway Counseling Agency, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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)
- Alexandria, LA
- NPI 1912281031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1922588607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10627 HWY 71 SOUTH",
"city": "CHENEYVILLE",
"state": "LA",
"postal_code": "71325",
"telephone_number": "318-279-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3683 S FIRST ST",
"city": "JENA",
"state": "LA",
"postal_code": "713426409",
"telephone_number": "318-992-2263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TONI",
"middle_name": "J",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "MS, CAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "5014",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171MOOOOOX",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jena, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.