Active NPI
Andrew Geren, MFT-INTERN
- Marriage & Family Therapist
- Shreveport, LA
National Provider Identifier
1083420210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 820 Jordan St Ste 570
Shreveport, LA 71101-4512 - Phone
- (318) 610-0750
- NPI assigned
- Dec 3, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
820 Jordan St Ste 570
Shreveport, LA 71101-4512
Mailing address
4413 Sun Valley Cir
Bossier City, LA 71112-4232
Phone (318) 610-0750
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courtney Miller, LPC North Bossier Counseling Corp | Counselor | Past | Accepting new patients |
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.
-
- Counselor
- Benton, LA
- NPI 1417540170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1083420210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4413 SUN VALLEY CIR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124232",
"telephone_number": "318-610-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 JORDAN ST STE 570",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014512",
"telephone_number": "318-610-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEREN",
"first_name": "ANDREW",
"credential": "MFT-INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Wilshunda George, NP-C
- Maria-Magdalena Georgescu, M.D., PH.D.
- Elonda Gerard
- Gerardon Negron and Willis-Knighton Medical Center
- Caitlin Gerding
- Geriatric Medical Corporation
- Geriatric Nurse Practitioner Consultants Inc
- Germain S Cassiere MD & Willis-Knighton Medical Center
- Carrie Michael German, M.D.
- Jeffrey Allen German, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.