Active NPI
Assured Behavioral Concepts
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ASSURED BEHAVIORAL CONCEPTS
- Practice address
- 2912 Valley View Dr
Shreveport, LA 71108-4934 - Phone
- (318) 626-7143
- Fax
- (318) 210-0358
- NPI assigned
- Mar 25, 2013
- Last updated
- Jun 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristal Chambers, LPC
- Title
- Director
- Phone
- (318) 626-7143
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4174 | LA | |
| Community/Behavioral Health Agency | 251S00000X | BH0012249 | LA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2912 Valley View Dr
Shreveport, LA 71108-4934
Mailing address
8921 Mansfield Rd
Shreveport, LA 71118-2144
Phone (318) 626-7143
National Provider Directory
National Provider DirectoryLocations
2912 Valley View Dr
Shreveport, LA 71108
Phone (318) 572-3354
8921 Mansfield Rd
Shreveport, LA 71118
Phone (318) 626-7143
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Shreveport, LA
- NPI 1740558667
-
- Mental Health Counselor
- Shreveport, LA
- NPI 1780261552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1104168566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8921 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182144",
"telephone_number": "318-626-7143",
"fax_number": "318-210-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 VALLEY VIEW DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711084934",
"telephone_number": "318-626-7143",
"fax_number": "318-210-0358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURED BEHAVIORAL CONCEPTS",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-25",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "KRISTAL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "318-626-7143",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4174",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "BH0012249",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.