NPIMap

Organization Active NPI

CLW Counseling, LLC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1013493873
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4108 Issued in LA
Legal business name
CLW COUNSELING, LLC
Practice address
2920 Knight St Ste 112
Shreveport, LA 71105-2412
Phone
(318) 510-0612
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Cindy Willis, LPCNPI 1720423593
Title
Owner
Phone
(318) 510-0612

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4108 LA Primary

Addresses

Primary practice location

2920 Knight St Ste 112
Shreveport, LA 71105-2412

Mailing address

2920 Knight St Ste 112
Shreveport, LA 71105-2412
Phone (318) 510-0612

Other names 1

  • CLW Counseling, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2920 Knight St
Ste 112
Shreveport, LA 71105
Phone (318) 423-3694

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1013493873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 KNIGHT ST STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052412",
            "telephone_number": "318-510-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 KNIGHT ST STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052412",
            "telephone_number": "318-510-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-510-0612",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLW Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLW Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2018; 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.