JORDAN MCKENZIE SELLERS (NPI# 1881116887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881116887 |
| Entity Type | Individual |
| Full Name | JORDAN MCKENZIE SELLERS |
| Practice Address |
1808 S 5th St Leesville LA 71446-5308 |
| Mailing Address |
2525 Youree Dr Ste 110 Shreveport LA 71104-3600 |
| Practice Telephone | 3372384350 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649702101 | Jordan Sellers | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2017-04-03 |
| Street Address |
1808 S 5TH ST |
| City | LEESVILLE |
| State | LA |
| Zip Code | 71446-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
| 1578014635 | Rehab Services of Cenla | Community/Behavioral Health | 1808 S 5th St, Leesville, LA 71446-5308 | 2016-10-24 |
| 1073066452 | Jessica Lanham | Counselor | 1808 S 5th St, Leesville, LA 71446-5308 | 2016-08-02 |
| 1598127383 | Julynn Burns | Counselor | 1808 S 5th St, Leesville, LA 71446 | 2016-03-22 |
| 1083075279 | Cheryl Popp | Counselor | 1808 S 5th St, Leesville, LA 71446-5308 | 2016-03-15 |
| 1992166375 | Jenifer Blackmore | Counselor | 1808 S 5th St, Leesville, LA 71446-5308 | 2016-03-14 |
| 1326406448 | Julia Cantrell | Social Worker | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-02-03 |
| 1669839411 | Sedric Clemons | Counselor | 1808 S 5th St, Leesville, LA 71446-5308 | 2016-01-25 |
| 1013374867 | Taywana Willliams | Case Manager/Care Coordinator | 1808 S 5th St, Leesville, LA 71446 | 2016-01-25 |
| 1770940702 | Meghan Hunter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446-5308 | 2016-01-21 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1720346943 | Antqualene Lavette Johnson | Physician Assistant | 2260 Glory Loop, Bldg 1260, Fort Polk, LA 71446 | 2012-04-25 |
| Find all providers in zip 71446 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942664396 | Lennie Sherrard | Counselor | 1134 Hagan Loop, Leesville, LA 71446-7508 | 2016-04-12 |
| 1639536758 | Victoria Gillick | Counselor | 1808 S 5th St Ste A, Leesville, LA 71446-5308 | 2016-01-20 |
| 1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
| 1184132409 | Latasha Lashawn Lassiter | Counselor | 103 N 5th St, Leesville, LA 71446 | 2018-01-22 |
| 1992218408 | Jacquelyn Fry | Counselor | 1112 Nolan Trce Ste B, Leesville, LA 71446-3838 | 2017-11-07 |
| 1225552128 | Shelby Hebing | Counselor | 103 N 5th St, Leesville, LA 71446-4025 | 2017-08-01 |
| 1831628650 | Amandalea Rhannon Walsh | Counselor | 103 N 5th St, Leesville, LA 71446 | 2017-06-06 |
| 1700319928 | John Cook | Counselor | 103 N 5th St, Leesville, LA 71446 | 2017-04-05 |
| 1942733142 | Tava Joyel Parks | Counselor | 282 Alexandria Hwy, Leesville, LA 71446 | 2017-04-05 |
| 1073066452 | Jessica Lanham | Counselor | 1808 S 5th St, Leesville, LA 71446-5308 | 2016-08-02 |
| Find all providers in LEESVILLE | ||||
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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.