TEARS MICKENS (NPI# 1417580796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417580796 |
| Entity Type | Individual |
| Full Name | TEARS MICKENS |
| Practice Address |
1017 Saint John St Lafayette LA 70501-6711 |
| Mailing Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 3372612300 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| 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 |
1017 SAINT JOHN ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952687212 | Latara Leggett | Social Worker | 1017 Saint John St, Lafayette, LA 70501-6711 | 2011-10-31 |
| 1659979144 | Ronda Babineaux | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-10-15 |
| 1972122422 | Nakeetha Savoy | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-04-15 |
| 1003435298 | Schyvanda Theresa Baranco | Case Manager/Care Coordinator | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-04-09 |
| 1699300293 | Jude Bernard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-03-04 |
| 1790318087 | Denise Deville | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-15 |
| 1033742432 | Laversia Theresa Landry | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1447883723 | Aiesha Danelle Broussard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1033742424 | Tiffany Rene' Turner | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-13 |
| 1184255416 | Morgan A Pete | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| 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 |
|---|---|---|---|---|
| 1316466758 | Adarian Shawntell Bourgeois | Peer Specialist | 1017 Saint John St Ste C, Lafayette, LA 70501-6711 | 2017-09-18 |
| 1659979144 | Ronda Babineaux | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-10-15 |
| 1295357523 | Frances Ann Mueller | Peer Specialist | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-05-08 |
| 1972122422 | Nakeetha Savoy | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-04-15 |
| 1699300293 | Jude Bernard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-03-04 |
| 1790318087 | Denise Deville | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-15 |
| 1033742432 | Laversia Theresa Landry | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1447883723 | Aiesha Danelle Broussard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1033742424 | Tiffany Rene' Turner | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-13 |
| 1184255416 | Morgan A Pete | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-01-27 |
| Find all providers in LAFAYETTE | ||||
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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.