EBONY MINGO (NPI# 1265804686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265804686 |
| Entity Type | Individual |
| Full Name | EBONY MINGO |
| Practice Address |
8325 Kelwood Ave Baton Rouge LA 70806 |
| Mailing Address |
9420 Lindale Ave Baton Rouge LA 70815-4161 |
| Practice Telephone | 2252385498 |
| Mailing Telephone | 2254423540 |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
009109825 | LA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
8325 KELWOOD AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831285469 | William Theriot | Nurse Anesthetist, Certified Registered | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2006-10-04 |
| 1760010342 | Cajun Bayou Health Care, LLC | Community/Behavioral Health | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2020-03-30 |
| 1992357214 | Floyd Christopher Kirksey Iv | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2019-07-16 |
| 1508423831 | Jade Shernice Turner | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2019-05-22 |
| 1629536149 | Derione Trenae Brown | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2019-03-04 |
| 1871065086 | Jacqueline Porter | Social Worker | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2018-12-28 |
| 1497263305 | Gretchen J Williams | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2018-01-12 |
| 1528572427 | Tiffany Hamilton | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2017-11-30 |
| 1154830859 | Naja Webb | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2017-09-25 |
| 1912416793 | Tarhonda Marshele London | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2017-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| 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 |
|---|---|---|---|---|
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1659984748 | Lasondra Finley | Case Manager/Care Coordinator | 6024 N Howell Dr, Baton Rouge, LA 70805-7231 | 2020-08-28 |
| 1134730476 | Melissa Urch | Case Manager/Care Coordinator | 14635 S Harrells Ferry Rd Ste 3a, Baton Rouge, LA 70816-2960 | 2020-08-11 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1285243691 | Adriana Arshell Vessell | Case Manager/Care Coordinator | 2211 Weymouth Dr, Baton Rouge, LA 70809-2017 | 2020-07-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on EBONY MINGO.
| 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.