Active NPI
Mary Elizabeth Giblin, LPC
- Counselor
- Shreveport, LA
National Provider Identifier
1033935150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7661
- Practice address
- 2636 Lillian St
Shreveport, LA 71103-3332 - Phone
- (318) 286-2041
- NPI assigned
- Nov 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7661 | LA | Primary |
Addresses
Primary practice location
2636 Lillian St
Shreveport, LA 71103-3332
Mailing address
2636 Lillian St
Shreveport, LA 71103-3332
Phone (318) 286-2041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7661 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoring Light Counseling, LLC | Counselor | Past | Accepting new patients |
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.
-
- Counselor
- Bossier City, LA
- NPI 1932724713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1033935150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 LILLIAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033332",
"telephone_number": "318-286-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 LILLIAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033332",
"telephone_number": "318-286-2041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBLIN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "7661",
"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 Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.