Individual provider Active NPI

Shauntee Slack, LPC-S

  • Mental Health Counselor
  • Monroe, LA
National Provider Identifier
1104278019
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC6755 Issued in LA
Practice address
1900 Lamy LN Ste I
Monroe, LA 71201-9200
Phone
(318) 953-5944
Fax
(318) 716-3252
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC6755 LA Primary

Addresses

Primary practice location

1900 Lamy LN Ste I
Monroe, LA 71201-9200

Mailing address

1900 Lamy LN Ste I
Monroe, LA 71201-9200
Phone (318) 953-5944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131002770 LA Practitioner - Mental Health Counselor 3274986724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Services CenterGroup PAC ID 2062300858, 16 clinicians

Practice addresses (Care Compare)

2913 Betin Ave
Monroe, LA 71201-7207

2913 Desiard St
Monroe, LA 71201-7207
Phone (318) 388-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC6755LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Services Center Single Specialty Current Accepting new patients
Family Behavioral Connections LLC Mental Health CurrentSince Jan 4, 2026 Accepting new patients

Locations

2945 Renwick St
Monroe, LA 71201
Phone (318) 654-8760

2913 Desiard St
Monroe, LA 71201
Phone (318) 651-9914

1600 Arizona Ave
Monroe, LA 71202
Phone (318) 387-2932

1900 Lamy Ln
Ste I
Monroe, LA 71201
Phone (318) 953-5944

850 S 2nd St
Monroe, LA 71202
Phone (318) 651-0041

301 McMillan Rd
West Monroe, LA 71291
Phone (318) 322-2332

301 McMillan Rd
Unit 1
West Monroe, LA 71291
Phone (318) 737-7616

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1104278019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAMY LN STE I",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712019200",
            "telephone_number": "318-953-5944",
            "fax_number": "318-716-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAMY LN STE I",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712019200",
            "telephone_number": "318-953-5944",
            "fax_number": "318-716-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "SHAUNTEE",
        "name_prefix": "Dr.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "LPC6755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.