Individual provider Active NPI

Markita Dismuke

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
National Provider Identifier
1043553894
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1205 N 18TH St Ste 210
Monroe, LA 71201-5462
Phone
(318) 503-8553
NPI assigned
Mar 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1205 N 18TH St Ste 210
Monroe, LA 71201-5462

Mailing address

920 Tampa St
Tallulah, LA 71282-5040
Phone (318) 341-9880

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

Practice roles

OrganizationSpecialtyStatusNew patients
MJSC Professional Services, LLC Non-Emergency Medical Transport (Van) Current Accepting new patients
Bold Horizons LLC CurrentSince Jul 9, 2025 Accepting new patients
House of Helping Angels Sober Living Current Accepting new patients

Locations

1205 N 18th St
Ste 210
Monroe, LA 71201
Phone (318) 503-8553

Organizations & group practices 3

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": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1043553894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 TAMPA ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825040",
            "telephone_number": "318-341-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N 18TH ST STE 210",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015462",
            "telephone_number": "318-503-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMUKE",
        "first_name": "MARKITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.