Individual provider Active NPI

Erin Shocklee Johnston, LAC, LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1043761323
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6623 Issued in LA
Practice address
2020 E 70TH St Ste 201
Shreveport, LA 71105-5332
Phone
(318) 423-2819
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 6623 LA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1570 LA
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2020 E 70TH St Ste 201
Shreveport, LA 71105-5332

Mailing address

2020 E 70TH St Ste 201
Shreveport, LA 71105-5332
Phone (318) 423-2819

Other practice location 1

3825 Gilbert Dr
Shreveport, LA 71104-5000
Phone (318) 423-2819

Other names 1

  • Erin Shocklee Johnston Other name

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

LicenseStateTypeSpecialty
1570LAMDAddiction (Substance Use Disorder) Counselor
6623LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds LLC Addiction (Substance Use Disorder) CurrentSince Apr 30, 2023 Accepting new patients

Locations

3825 Gilbert Dr
Ste 111
Shreveport, LA 71104
Phone (318) 423-2819

742 Professional Dr N
Shreveport, LA 71105

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1043761323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E 70TH ST STE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055332",
            "telephone_number": "318-423-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 70TH ST STE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055332",
            "telephone_number": "318-423-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 Gilbert Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711045000",
            "country_code": "US",
            "telephone_number": "318-423-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ERIN",
        "middle_name": "SHOCKLEE",
        "credential": "LAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2023-04-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6623",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1570",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "JOHNSTON",
            "middle_name": "SHOCKLEE",
            "credential": "LAC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 6, 2023; 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.