Aneisia Johnwell
Counselor, Professional in Lake Charles, LA. Individual provider (NPI-1).
NPI number1043787682
StatusActive
Last updated in NPPESAug 20, 2026
Details
- NPI
- 1043787682
- Entity type
- Individual (NPI-1)
- Name
- Aneisia Johnwell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2018
- Certification date
- Aug 20, 2026
- Last updated
- Aug 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
133 Jefferson DrLake Charles, LA 70605-5713
Phone 337-431-7194 · Fax 337-431-7198
Mailing address
133 Jefferson DriveLake Charles, LA 70601-8406
Phone 337-431-7194 · Fax 337-431-7198
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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