Active NPI
Heather Kleckinger, M.S.
- Counselor
- Shreveport, LA
National Provider Identifier
1093984957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CI 3761
- Practice address
- 6005 Financial PLZ
Shreveport, LA 71129-2615 - Phone
- (318) 632-2040
- Fax
- (318) 632-2073
- NPI assigned
- Feb 25, 2008
- Last updated
- Feb 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CI 3761 | LA | Primary |
Addresses
Primary practice location
6005 Financial PLZ
Shreveport, LA 71129-2615
Mailing address
6005 Financial PLZ
Shreveport, LA 71129-2615
Phone (318) 632-2040
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI 3761 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Kleckinger LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bossier City, LA
- NPI 1194493775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1093984957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 FINANCIAL PLZ",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711292615",
"telephone_number": "318-632-2040",
"fax_number": "318-632-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 FINANCIAL PLZ",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711292615",
"telephone_number": "318-632-2040",
"fax_number": "318-632-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLECKINGER",
"first_name": "HEATHER",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "CI 3761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.