NPIMap

Organization Active NPI

Roan Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
National Provider Identifier
1003371626
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROAN COUNSELING, LLC
Practice address
1455 E Bert Kouns Industrial Loop # 102
Shreveport, LA 71105-5634
Phone
(318) 798-4444
Fax
(318) 795-4748
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Mr. Roan Jordan Flenniken, LPCNPI 1457833881
Title
Licensed Professional Councelor
Phone
(318) 455-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1455 E Bert Kouns Industrial Loop # 102
Shreveport, LA 71105-5634

Mailing address

PO Box 53032
Shreveport, LA 71135-3032
Phone (318) 798-4539

National Provider Directory

National Provider Directory

Locations

1455 E Bert Kouns Industrial Loop
#102
Shreveport, LA 71105
Phone (318) 455-6008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1003371626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53032",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711353032",
            "telephone_number": "318-798-4539",
            "fax_number": "318-798-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP # 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4444",
            "fax_number": "318-795-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "FLENNIKEN",
        "authorized_official_first_name": "ROAN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNCELOR",
        "authorized_official_telephone_number": "318-455-6008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 7, 2019; 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.