Mary Dyas, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5827 Issued in LA

Practice address

2020 E 70TH St Ste 110
Shreveport, LA 71105-5332

Phone

(318) 553-5591

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Jacquelyn Kirby Counseling & Consulting, LLC

  • Professional Counselor
  • Shreveport, LA
  • NPI 1770017097
  NPD

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1033664883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E 70TH ST STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055332",
            "telephone_number": "318-423-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 70TH ST STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055332",
            "telephone_number": "318-553-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Centenary Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043358",
            "country_code": "US",
            "telephone_number": "318-681-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYAS",
        "first_name": "MARY",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Gray Durr, M.A, LPC
• Stacey Vaughn Durr, RN, CFNP
• Alexa Zaheri Dustin, MD
• Jennifer Flippo Duvall, LPC
• Emily Dwyer
• Jamie Dyche
• Albert James Dyer I, PASTOR
• Chauncey Dyer
• Danielle V Dykes, NURSE PRACTITIONER
• Martin James Dykes, L.A.C.

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.

Verify at the official NPI Registry.