Active NPI
Taylor N Mashaw, LPC
- Professional Counselor
- Ruston, LA
National Provider Identifier
1013796440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8624
- Practice address
- 622 Burgessville Rd
Ruston, LA 71270-5154 - Phone
- (318) 225-7223
- Fax
- (318) 415-1004
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8624 | LA | |
| Professional Counselor | 101YP2500X | 8624 | LA | Primary |
Addresses
Primary practice location
622 Burgessville Rd
Ruston, LA 71270-5154
Mailing address
115 Baywood LN
Ruston, LA 71270-5672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002956 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8624 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thinktrek LLC | Mental Health | Current | Accepting new patients |
Locations
3018 Old Minden Rd
Ste 1200
Bossier City, LA 71112
Phone (318) 224-7223
206 E Reynolds Dr
Ste F2
Ruston, LA 71270
Phone (318) 224-7223
622 Burgessville Rd
Ruston, LA 71270
Phone (318) 224-7223
Networks
- LA PPO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1013796440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BAYWOOD LN",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 BURGESSVILLE RD",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705154",
"telephone_number": "318-225-7223",
"fax_number": "318-415-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHAW",
"first_name": "TAYLOR",
"middle_name": "N",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "8624",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "8624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3002956",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.