Individual provider Active NPI

Andrea Markeisha Pugh, MS, LPC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1023481058
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85622 Issued in TX
Practice address
856 Texas Ave
Shreveport, LA 71101
Phone
(318) 918-8816
Fax
(318) 227-6179
NPI assigned
Nov 13, 2015
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC14744 MD
Mental Health Counselor 101YM0800X 85622 TX Primary
Mental Health Counselor 101YM0800X C7396 OR
Mental Health Counselor 101YM0800X 6372 LA
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

856 Texas Ave
Shreveport, LA 71101

Mailing address

856 Texas Ave
Shreveport, LA 71101-3400
Phone (318) 918-8816

Other practice location 1

1100 Poydras St Ste 2900
New Orleans, LA 70163-2900
Phone (415) 424-4266

Other practice location 2

1440 Hawn Ave
Shreveport, LA 71107-6532
Phone (318) 226-5990

Other practice location 3

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (415) 424-4266

Other practice location 4

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC14744MDMDMental Health Counselor
C7396ORMDMental Health Counselor
85622TXMDMental Health Counselor
6372LAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CBS Act Center LLC Mental Health Past Accepting new patients
Volunteers of America of North Louisiana PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1023481058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 TEXAS AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013400",
            "telephone_number": "318-918-8816",
            "fax_number": "318-227-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 TEXAS AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-918-8816",
            "fax_number": "318-227-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Poydras St Ste 2900",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701632900",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Hawn Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711076532",
            "country_code": "US",
            "telephone_number": "318-226-5990",
            "fax_number": "318-226-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16701 Melford Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154411",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Esters Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632233",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "ANDREA",
        "middle_name": "MARKEISHA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14744",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85622",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7396",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6372",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "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 May 13, 2025; 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.