JAZMIN TRENISE CLARK (NPI# 1184264665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184264665 |
| Entity Type | Individual |
| Full Name | JAZMIN TRENISE CLARK |
| Practice Address |
4308 S Grand St Monroe LA 71202-6322 |
| Mailing Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 9132203153 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| 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 |
4308 S GRAND ST |
| City | MONROE |
| State | LA |
| Zip Code | 71202-6322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| 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 |
|---|---|---|---|---|
| 1831606904 | Paul Zinder | Peer Specialist | 12 W Front St Ste B, Monroe, MI 48161-2337 | 2018-01-10 |
| 1780208298 | Amber Madison | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-06-01 |
| 1437772019 | William Charles Morgan Jr. | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-05-18 |
| 1063048379 | Victoria Salley Westfield | Peer Specialist | 2313 Katie Leigh Ln, Monroe, NC 28110-6435 | 2020-03-18 |
| 1396371001 | Peyton Harrel | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-03-14 |
| 1548895311 | Misty Mcdowell | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-03-11 |
| 1194350652 | Alison Hope Williams | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-03-05 |
| 1598398737 | Melissa Ann Brown | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-02-17 |
| 1073146361 | Lexus Nichole Hamer | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-02-15 |
| 1760015168 | Christopher Ellis | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-02-14 |
| Find all providers in MONROE | ||||
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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.