JERRY KINCHEN JR. (NPI# 1386149896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386149896 |
| Entity Type | Individual |
| Full Name | JERRY KINCHEN JR. |
| Practice Address |
4242 Highway 19 Ste B-3 Zachary LA 70791-3982 |
| Mailing Address |
4888 S Sherwood Forest Blvd Apt 355 Baton Rouge LA 70816-4607 |
| Practice Telephone | 2257575845 |
| Mailing Telephone | 3375166663 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4242 HIGHWAY 19 STE B-3 |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659895225 | Rishawn Gorden Lawson | Counselor | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2017-07-26 |
| 1003310194 | Amarachi Nwaobiara Orimma | Counselor | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2018-03-22 |
| 1508377623 | Cope Aquatic Therapy, LLC | Clinic/Center | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2017-10-16 |
| 1053822189 | Cope Medical Group LLC | Clinic/Center | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297101 | Latoya Taylor | Counselor | 8927 Cherry Laurel Ave, Zachary, LA 70791-7489 | 2019-01-02 |
| 1730651217 | Grateful Hearts | Counselor | 20022 Eastwood Dr, Zachary, LA 70791-5365 | 2018-12-21 |
| 1659895225 | Rishawn Gorden Lawson | Counselor | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2017-07-26 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1114468154 | Latoya London-moore | Counselor | 9354 Highland Oaks Ave, Zachary, LA 70791 | 2017-03-09 |
| 1477097368 | Edward C Johnson | Counselor | 24020 Plank Rd, Zachary, LA 70791-6429 | 2016-12-12 |
| 1932553815 | Leslie De Graaf | Counselor | 4787 Waywood Dr Ste C, Zachary, LA 70791-2480 | 2016-04-18 |
| 1326417486 | Cassandra Jones | Counselor | 4242 La Hwy 19 Suite 3b, Zachary, LA 70791 | 2015-09-18 |
| 1043645435 | Myiesha Spears-beard | Counselor | 18243 Smallen Dr, Zachary, LA 70791-8212 | 2013-09-05 |
| 1003310194 | Amarachi Nwaobiara Orimma | Counselor | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2018-03-22 |
| Find all providers in ZACHARY | ||||
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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.