MS. JAQUITA GWYNN JORDAN (NPI# 1649311549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649311549 |
| Entity Type | Individual |
| Full Name | MS. JAQUITA GWYNN JORDAN |
| Credential | M.A., L.P.C. |
| Practice Address |
300 S 4th St Leesville LA 71446-4318 |
| Mailing Address |
Po Box 431 New Llano LA 71461-0431 |
| Practice Telephone | 3374247406 |
| Mailing Telephone | 3374247406 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3044 | LA | Behavioral Health & Social Service Providers |
| Street Address |
300 S 4TH ST |
| City | LEESVILLE |
| State | LA |
| Zip Code | 71446-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
| 1487298964 | Usafetrans | Non-emergency Medical Transport (VAN) | 9348 Shreveport Hwy, Leesville, LA 71446 | 2019-10-29 |
| 1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
| 1598280810 | Heather Wisby | Nurse Practitioner | 919 S. 10th St., Leesville, LA 71446 | 2017-08-08 |
| 1487183802 | Cathryn Lea Gaur | Speech-Language Pathologist | 300 Nolan Trace, Leesville, LA 71446 | 2017-06-08 |
| 1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
| 1366820714 | Companion Care of Southwest Louisiana | In Home Supportive Care | 407 B North 5th Street, Leesville, LA 71446 | 2015-05-18 |
| 1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
| 1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
| 1447500293 | Jana N Lambert | Nurse Practitioner | 919 S. 10th St, Leesville, LA 71446 | 2012-09-19 |
| Find all providers in zip 71446 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325160 | Tanya E Harrell | Counselor | 100 Ida St, Leesville, LA 71446-3013 | 2018-11-23 |
| 1114474152 | Zachary Crowder | Counselor | 807 Dennis Ave, Leesville, LA 71446-4101 | 2016-09-07 |
| 1912447400 | La'kasha Tasheka Smith | Counselor | 282 Alexandria Hwy, Leesville, LA 71446-2146 | 2017-03-02 |
| 1831586379 | Robert Flowers | Counselor | 105 Belview Rd, Leesville, LA 71446-2902 | 2015-04-22 |
| 1508297193 | Mickie Seastrunk | Counselor | 104 N 3rd St, Leesville, LA 71446-4014 | 2013-12-06 |
| 1558528075 | Andrea Joy Williams | Counselor | 105 Belview Rd, Leesville, LA 71446-2902 | 2008-05-21 |
| 1265629364 | Cheryl Ann Smyth | Counselor | 105 Belview Rd, Leesville, LA 71446-2902 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447222 | Caitlin Mcginn Seelie | Counselor | 1932 Audubon St, New Orleans, LA 70118-5516 | 2020-11-06 |
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1275130767 | Emily Ludwin Miller | Counselor | 1941 Congress St, New Orleans, LA 70117-5927 | 2020-10-07 |
| 1932716263 | Julie Ireland | Counselor | 1264 Staci Ln, Sulphur, LA 70665-7951 | 2020-09-30 |
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1689280174 | Amy Giles Arceneaux | Counselor | 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 | 2020-09-20 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1528673258 | Benjamin R Taylor Jr. | Counselor | 8728 Waters Edge Ave, Baker, LA 70714-6443 | 2020-09-10 |
| 1144833906 | Kelli Cain | Counselor | 919 Doc Prejean St, Scott, LA 70583-5133 | 2020-08-31 |
| 1760095459 | Julie Giroir Galloway | Counselor | 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. JAQUITA GWYNN JORDAN.
| 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.