Individual provider Active NPI

Shavez Javon Pinestraw, LPC

  • Professional Counselor
  • Hammond, LA
National Provider Identifier
1063123354
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9950 Issued in LA
Practice address
14234 Lindsay Dr
Hammond, LA 70403-7628
Phone
(985) 974-4972
Fax
(985) 243-3388
NPI assigned
Dec 8, 2022
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9950 LA Primary

Addresses

Primary practice location

14234 Lindsay Dr
Hammond, LA 70403-7628

Mailing address

PO Box 2762
Hammond, LA 70404-2762
Phone (985) 974-4972

Other practice location 1

234 Mayo Rd
Shreveport, LA 71106-7916
Phone (504) 345-9154

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
9950LAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colors of Counseling & Consulting LLC Professional Current Accepting new patients
Creative Counseling and Wellness, LLC Mental Health PastSince Mar 1, 2024 Accepting new patients
Turning Point Counseling Services LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1063123354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2762",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042762",
            "telephone_number": "985-974-4972",
            "fax_number": "985-243-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14234 LINDSAY DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704037628",
            "telephone_number": "985-974-4972",
            "fax_number": "985-243-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Mayo Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711067916",
            "country_code": "US",
            "telephone_number": "504-345-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINESTRAW",
        "first_name": "SHAVEZ",
        "middle_name": "JAVON",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.