JONATHAN STELLY (NPI# 1215499694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215499694 |
| Entity Type | Individual |
| Full Name | JONATHAN STELLY |
| Practice Address |
302 Richmond St Bogalusa LA 70427-3942 |
| Practice Telephone | 9857322089 |
| Mailing Telephone | 9857322089 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
302 RICHMOND ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578628533 | Lisa Tadlock | Social Worker | 302 Richmond St, Bogalusa, LA 70427-3942 | 2006-12-27 |
| 1770127599 | Stephanie Mcgrew | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2019-11-05 |
| 1114491719 | Andrea I Sharp | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2019-01-16 |
| 1538633540 | Diona Caprees Sibley | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2019-01-14 |
| 1831661792 | Shadd Pittman | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2018-12-17 |
| 1831661768 | Karen Little | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2018-12-17 |
| 1003387929 | Shannon H Barnes | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2018-12-17 |
| 1356826853 | Alyssa Jade Crain | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2018-10-01 |
| 1740770619 | Peggy Dillon | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2018-05-15 |
| 1437664679 | Marissa Kent | Counselor | 302 Richmond St, Bogalusa, LA 70427-3942 | 2017-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1417446592 | Cal'nesha Mingo | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1750815478 | Rebecca Thomas | Case Manager/Care Coordinator | 302 Richmond St Ste A, Bogalusa, LA 70427-3942 | 2017-04-19 |
| 1053788778 | Kelly Talley Seal | Case Manager/Care Coordinator | 926 Avenue I, Bogalusa, LA 70427-4245 | 2015-08-28 |
| 1407038672 | Nellie Byers Training Center Inc | Case Manager/Care Coordinator | 640 Avenue V, Bogalusa, LA 70427 | 2007-11-29 |
| 1033732458 | Derrick Robinson | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-20 |
| 1699398180 | Tonia Alexander | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-19 |
| 1720610298 | Jennifer Wylie | Case Manager/Care Coordinator | 302 Richmond St Ste A, Bogalusa, LA 70427-3942 | 2020-02-12 |
| 1770127599 | Stephanie Mcgrew | Case Manager/Care Coordinator | 302 Richmond St, Bogalusa, LA 70427-3942 | 2019-11-05 |
| 1326508516 | Tekeisha Ard | Case Manager/Care Coordinator | 542 Columbia St, Bogalusa, LA 70427-4720 | 2019-03-22 |
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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.