NPIMap

Organization Active NPI

CBS Counseling Center LLC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1003152703
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10334075#CSL73 Issued in LA
Legal business name
CBS COUNSELING CENTER LLC
Practice address
1406 Hawn Ave
Shreveport, LA 71107-6532
Phone
(317) 617-5869
Fax
(317) 675-0226
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Pamela Michelle Phillips, MBA
Title
Business Manager
Phone
(318) 617-5869

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10334075#CSL73 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X 10334075#CSL73 LA
Mental Health Counselor 101YM0800X 10334075#CSL73 LA
Professional Counselor 101YP2500X 10334075#CSL73 LA Primary
Community/Behavioral Health Agency 251S00000X 10334075#CSL73 LA

Addresses

Primary practice location

1406 Hawn Ave
Shreveport, LA 71107-6532

Mailing address

1406 Hawn Ave
Shreveport, LA 71107-6532
Phone (317) 617-5869

National Provider Directory

National Provider Directory

Locations

1406 Hawn Ave
Shreveport, LA 71107
Phone (317) 617-5869

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1003152703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 HAWN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076532",
            "telephone_number": "317-617-5869",
            "fax_number": "317-675-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 HAWN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076532",
            "telephone_number": "317-617-5869",
            "fax_number": "317-675-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "318-617-5869",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "10334075#CSL73",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "10334075#CSL73",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "10334075#CSL73",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "10334075#CSL73",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "10334075#CSL73",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.