| Jasmine Travis, LPC, CMHC, LCPC | |
|
2320 Drusilla Lane, Suite A #1027, Baton Rouge, LA 70809-2045 | |
| (225) 399-2085 | |
| Not Available |
| Full Name | Jasmine Travis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2320 Drusilla Lane, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639607419 | NPI | - | NPPES |
| 12892457-6004 | Other | UT | LCPC |
| CP5644-R | Other | NV | CMHC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Louisiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 7008 (Louisiana) | Primary |
| 101YP2500X | Counselor - Professional | 7008 (Louisiana) | Secondary |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230510001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Travis, LPC, CMHC, LCPC Po Box 42045, Baton Rouge, LA 70835-2045 Ph: (337) 298-1326 | Jasmine Travis, LPC, CMHC, LCPC 2320 Drusilla Lane, Suite A #1027, Baton Rouge, LA 70809-2045 Ph: (225) 399-2085 |
Janet Roy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4615 Government St, Building 2, Baton Rouge, LA 70806 Phone: 225-925-1906 Fax: 225-925-1972 | |
Dr. Shalanda R Judge, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Goodwood Blvd Ste A1, Baton Rouge, LA 70806 Phone: 225-421-1921 | |
Devora Knight, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8706 Jefferson Hwy Ste A, Baton Rouge, LA 70809 Phone: 225-926-9706 Fax: 225-926-9708 | |
Alacia Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3968 North Blvd, Baton Rouge, LA 70806 Phone: 225-397-4414 | |
Jennifer Sampson Norwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-292-5151 | |
Staci Nicole Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11616 Southfork Ave, Baton Rouge, LA 70816 Phone: 225-291-9646 | |
Miss Kenyell Shantae Mclean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8325 Kelwood Ave., Baton Rouge, LA 70806 Phone: 225-245-5095 |