NPIMap

Organization Active NPI

Skyline Management Group

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1043456783
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SKYLINE MANAGEMENT GROUP
Practice address
820 Jordan St Ste 465
Shreveport, LA 71101-4526
Phone
(318) 207-1038
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Stanley Lester
Title
Adminstrator
Phone
(318) 207-1038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

820 Jordan St Ste 465
Shreveport, LA 71101-4526

Mailing address

820 Jordan St Ste 465
Shreveport, LA 71101-4526
Phone (318) 207-1038

National Provider Directory

National Provider Directory

Locations

820 Jordan St
Ste 465
Shreveport, LA 71101
Phone (318) 207-1038

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1043456783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 465",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-207-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 465",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-207-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "318-207-1038"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Dec 31, 2008; 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.