Individual provider Active NPI

Jasmine Taylor, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
National Provider Identifier
1992457360
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CIT-5303 Issued in LA
Practice address
181 Mill Bayou Rd
Monroe, LA 71203-8116
Phone
(503) 806-9696
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CIT-5303 LA Primary

Addresses

Primary practice location

181 Mill Bayou Rd
Monroe, LA 71203-8116

Mailing address

181 Mill Bayou Rd
Monroe, LA 71203-8116
Phone (503) 806-9696

Other practice location 1

117 N Washington St
Bastrop, LA 71220-3842
Phone (503) 806-9696

Other practice location 2

216 Ouachita Ave
Monroe, LA 71201-8513
Phone (503) 806-9696

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
CIT-5303LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1992457360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MILL BAYOU RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038116",
            "telephone_number": "503-806-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MILL BAYOU RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038116",
            "telephone_number": "503-806-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712203842",
            "country_code": "US",
            "telephone_number": "503-806-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Ouachita Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712018513",
            "country_code": "US",
            "telephone_number": "503-806-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JASMINE",
        "credential": "CIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.