MYLECKA SHAY JEFFERSON LPC - NPI 1922473099 - Counselor in Baton Rouge, LA

Q: What is Mylecka Jefferson's NPI number?

The NPI number for Mylecka Jefferson is 1922473099. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Q: What is Mylecka Jefferson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mylecka Jefferson was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mylecka Shay Jefferson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYLECKA SHAY JEFFERSON LPC (NPI 1922473099) is an individual counselor in Baton Rouge, Louisiana, licensed in Louisiana (9398) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1922473099

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMYLECKA SHAY JEFFERSONCredential: LPC

Location Address11616 SOUTHFORK AVE STE 403Baton Rouge, LA 70816-5241

Mailing Address1202 Monroe StGretna, LA 70053-2307 · (504) 309-6798 · Fax (504) 407-2115

Phone(225) 261-7143

Fax(225) 250-1026

Sole ProprietorNo

Enumeration DateDecember 1, 2015

Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1922473099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in LA · 9398

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 9398 (LA)

11616 SOUTHFORK AVE STE 403, Baton Rouge, LA 70816

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Secondary Practice Location 1

Location 11202 Monroe StrNew Orleans, LA 70053 · Phone (504) 309-6798 · Fax (504) 407-2115

Other Identifiers 1

Medicaid1922473099LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mylecka Shay Jefferson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA MICHELLE JOHNSON-TICKLES

Counselor