Active NPI
Erin Shocklee Johnston, LAC, LPC
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1043761323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6623
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
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 |
|---|---|---|---|
| 1570 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 6623 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Minds LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Professional Counselor
- Shreveport, LA
- NPI 1689361263
Addiction (Substance Use Disorder)
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.