GLENNIS MCKELPHIN JR. (NPI# 1255820338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255820338 |
| Entity Type | Individual |
| Full Name | GLENNIS MCKELPHIN JR. |
| Practice Address |
311 Louisiana Ave Bogalusa LA 70427-3839 |
| Mailing Address |
106 Business Park Avenue Denham Springs LA 70726 |
| Practice Telephone | 8884175250 |
| Practice Fax Number | 2253418756 |
| Mailing Telephone | 8884175250 |
| Mailing Fax Number | 2253418756 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 00000000 | 05 |
| Street Address |
311 LOUISIANA AVE |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446592 | Cal'nesha Mingo | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1033732458 | Derrick Robinson | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-20 |
| 1699398180 | Tonia Alexander | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-19 |
| 1558850628 | Glenda Young | Counselor | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1245729326 | Autainia Self | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1518456698 | Jaleesha Martin | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1598254674 | Ashley Peters | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1184113268 | Shelita Peters | Counselor | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1265921340 | Susan Haynes | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1417446592 | Cal'nesha Mingo | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1750815478 | Rebecca Thomas | Case Manager/Care Coordinator | 302 Richmond St Ste A, Bogalusa, LA 70427-3942 | 2017-04-19 |
| 1053788778 | Kelly Talley Seal | Case Manager/Care Coordinator | 926 Avenue I, Bogalusa, LA 70427-4245 | 2015-08-28 |
| 1407038672 | Nellie Byers Training Center Inc | Case Manager/Care Coordinator | 640 Avenue V, Bogalusa, LA 70427 | 2007-11-29 |
| 1033732458 | Derrick Robinson | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-20 |
| 1699398180 | Tonia Alexander | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-19 |
| 1720610298 | Jennifer Wylie | Case Manager/Care Coordinator | 302 Richmond St Ste A, Bogalusa, LA 70427-3942 | 2020-02-12 |
| 1770127599 | Stephanie Mcgrew | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2019-11-05 |
| 1326508516 | Tekeisha Ard | Case Manager/Care Coordinator | 542 Columbia St, Bogalusa, LA 70427-4720 | 2019-03-22 |
| Find all providers in BOGALUSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.