Organization Active NPI

Assured Behavioral Concepts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
National Provider Identifier
1104168566
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Mrs. Kristal Chambers, LPCNPI 1740558667
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.