JESSIKA ANN SCALLION (NPI# 1598240368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598240368 |
| Entity Type | Individual |
| Full Name | JESSIKA ANN SCALLION |
| Credential | LPC |
| Practice Address |
1640 S Columbia St Bogalusa LA 70427-5800 |
| Mailing Address |
Beacon Behavioral Outpatient Bogalusa 1640 South Columbia Bogalusa LA 70427 |
| Practice Telephone | 9857351750 |
| Mailing Telephone | 9857351750 |
| Mailing Fax Number | 9857351752 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2829 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1640 S COLUMBIA ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114974151 | Balminder S Mangat | Psychiatry & Neurology | 1640 S Columbia St, Suite B, Bogalusa, LA 70427-5800 | 2006-05-27 |
| 1205459666 | Teresa Taylor | Counselor | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2020-05-20 |
| 1376192484 | Dena Children Center LLC | Psychiatric Residential Treatment Facility | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2019-09-11 |
| 1215411079 | Amanda Lake Faulkner | Registered Nurse | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2018-09-18 |
| 1487137626 | Bogalusa Restoration Center, LLC | Foster Care Agency | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2018-09-13 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588290803 | Sarah Pavur | Counselor | 521 Avenue F, Bogalusa, LA 70427-3635 | 2020-03-18 |
| 1588062285 | Mary Klein | Counselor | 542 Columbia St, Bogalusa, LA 70427-4720 | 2014-12-11 |
| 1851861132 | Oleta Davis | Counselor | 537 Kentucky Ave, Bogalusa, LA 70427-3913 | 2018-11-29 |
| 1093296782 | Hendria Thompson | Counselor | 542 Columbia St, Bogalusa, LA 70427-4720 | 2018-08-22 |
| 1720565096 | Alexis Pendergrass | Counselor | 542 Columbia St, Bogalusa, LA 70427-4720 | 2018-07-19 |
| 1114404480 | Joshua Smith | Counselor | 542 Columbia St, Bogalusa, LA 70427 | 2018-07-19 |
| 1700363066 | Summer A Mixon | Counselor | 542 Columbia St, Bogalusa, LA 70427 | 2018-07-19 |
| 1558850628 | Glenda Young | Counselor | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1184113268 | Shelita Peters | Counselor | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2018-05-04 |
| 1144734732 | Tysha Montez Magee | Counselor | 302 Richmond St, Bogalusa, LA 70427-3942 | 2017-11-19 |
| Find all providers in BOGALUSA | ||||
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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.