Twana Latonya Carroll, MA, MBA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2924 Knight St Ste 426
Shreveport, LA 71105-2414

Phone

(318) 754-3560

Fax

(318) 779-0439

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

State licenses

Practice roles

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.

• Autumn Creek Health Solutions Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1982058756

  Mental Health

  NPD (past)
• Forever Healthcare Inc.

  • Home Health Agency
  • Shreveport, LA
  • NPI 1801458781
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1083060438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 426",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052414",
            "telephone_number": "318-754-3560",
            "fax_number": "318-779-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 426",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052414",
            "telephone_number": "318-754-3560",
            "fax_number": "318-779-0439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5902 Buncombe Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711294004",
            "country_code": "US",
            "telephone_number": "318-670-8898",
            "fax_number": "318-300-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TWANA",
        "middle_name": "LATONYA",
        "credential": "MA, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "1083060438",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003549654",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline B Carroll, MD
• Corsica C Carroll
• Dalton Robert Carroll, FNP-C
• Linda Carroll
• Tiffany Carroll
• Loren Carscadden, APRN
• Carson Investments of Louisiana, Inc
• Angelica Carter
• Caprisha Carter
• Carla Hanson Carter, O.D.

• All providers in Shreveport, LA
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.