JENNY ARDOIN (NPI# 1477188852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477188852 |
| Entity Type | Individual |
| Full Name | JENNY ARDOIN |
| Practice Address |
751 Bayou Pines East Dr Ste C Lake Charles LA 70601-7196 |
| Mailing Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 3374333292 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
751 BAYOU PINES EAST DR STE C |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982076220 | Karen Webb | Counselor | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2015-10-27 |
| 1396344529 | Jaycee Claire Red | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-10-19 |
| 1235741653 | Katlyn Lavergne | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-18 |
| 1437760154 | Germaine Marie Clark | Case Manager/Care Coordinator | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-14 |
| 1043821820 | Britney Ann Corbin | Case Manager/Care Coordinator | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-13 |
| 1104448612 | Brandon Lee Goodly | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-05-07 |
| 1215559794 | Courtney Michelle Short-prudhomme | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-05-07 |
| 1639798358 | Destiny Dashae Guillory | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-04-13 |
| 1558995498 | Erica Toussaint | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-03-01 |
| 1609409838 | Shirelle Ann Latour-mercer | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1396344529 | Jaycee Claire Red | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-10-19 |
| 1235741653 | Katlyn Lavergne | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-18 |
| 1104448612 | Brandon Lee Goodly | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-05-07 |
| 1215559794 | Courtney Michelle Short-prudhomme | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-05-07 |
| 1639798358 | Destiny Dashae Guillory | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-04-13 |
| 1972131191 | Ursula Andria Francis | Peer Specialist | 751 Bayou Pines East Dr, Lake Charles, LA 70601-7196 | 2020-04-01 |
| 1558995498 | Erica Toussaint | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-03-01 |
| 1609409838 | Shirelle Ann Latour-mercer | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-02-17 |
| 1134752413 | Laronda Celestine | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-02-14 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.