Healthcare Provider Details

I. General information

NPI: 1720454937
Provider Name (Legal Business Name): JENNA ONCALE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3803 CLEVELAND AVE
NEW ORLEANS LA
70119-6004
US

IV. Provider business mailing address

330 CAMELIA AVE
LA PLACE LA
70068-3006
US

V. Phone/Fax

Practice location:
  • Phone: 504-383-3824
  • Fax:
Mailing address:
  • Phone: 985-212-9768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8389
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2613
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2613
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: