JULIE KETCHENS (NPI# 1912415878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912415878 |
| Entity Type | Individual |
| Full Name | JULIE KETCHENS |
| Practice Address |
1799 Stumpf Blvd Ste 1 Terrytown LA 70056 |
| Mailing Address |
1799 Stumpf Blvd Ste 1 Terrytown LA 70056-3950 |
| Practice Telephone | 5042662522 |
| Practice Fax Number | 5043081400 |
| Mailing Telephone | 5042662522 |
| Mailing Fax Number | 5043081400 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 13354 | LA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | 13354 | LA | Other Service Providers |
| Street Address |
1799 STUMPF BLVD STE 1 |
| City | TERRYTOWN |
| State | LA |
| Zip Code | 70056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275057317 | Xzania White Lee | Counselor | 1799 Stumpf Blvd Ste 1, Terrytown, LA 70056-3950 | 2017-07-31 |
| 1841849718 | Orenthia Bennett | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 1, Terrytown, LA 70056-3950 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| 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 |
|---|---|---|---|---|
| 1336704915 | Jacquet L Williams | Case Manager/Care Coordinator | 1615 Carol Sue Ave Apt 9, Terrytown, LA 70056-5158 | 2019-05-08 |
| 1992274096 | Deanna Hawk | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 7, Terrytown, LA 70056-3950 | 2018-11-19 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1912441114 | Lisa Pichon | Case Manager/Care Coordinator | 204 Terry Pkwy, Terrytown, LA 70056-2525 | 2016-12-07 |
| 1376997429 | Brian Ulmer | Case Manager/Care Coordinator | 600 Deerfield Rd Apt 2008, Terrytown, LA 70056 | 2016-04-14 |
| 1871906362 | Janier Mckinnies | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2014-06-03 |
| 1083896898 | Karen Ann White | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 7, Ste.#10, Terrytown, LA 70056-3950 | 2007-12-04 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1144848029 | Linda Collins | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 6, Terrytown, LA 70056-3950 | 2020-07-08 |
| 1326670928 | Byron J Edmonson Sr. | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 6, Terrytown, LA 70056-3950 | 2020-02-11 |
| Find all providers in TERRYTOWN | ||||
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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.