Organization Active NPI

Shelby House LLC

  • Substance Abuse Rehabilitation Facility
  • West Monroe, LA
National Provider Identifier
1053119636
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SHELBY HOUSE LLC
Practice address
1516 Elizabeth St
West Monroe, LA 71291-7108
Phone
(318) 380-2486
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Jennifer Anne Mazzanti, LPCNPI 1770084113
Title
Owner
Phone
(318) 380-2486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1516 Elizabeth St
West Monroe, LA 71291-7108

Mailing address

209 Pine Grove Cir
West Monroe, LA 71291-7736
Phone (318) 380-2486

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1053119636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PINE GROVE CIR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917736",
            "telephone_number": "318-380-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 ELIZABETH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917108",
            "telephone_number": "318-380-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "MAZZANTI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-380-2486",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.