Individual provider Active NPI

Brittany Gray Durr, M.A, LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1104390657
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8027 Issued in LA
Practice address
458 Herndon St
Shreveport, LA 71101-4859
Phone
(318) 355-6898
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X PLC8027 LA
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X 8027 LA Primary

Addresses

Primary practice location

458 Herndon St
Shreveport, LA 71101-4859

Mailing address

458 Herndon St
Shreveport, LA 71101-4859
Phone (318) 355-6898

Other practice location 1

856 Texas Ave
Shreveport, LA 71101-3400
Phone (318) 429-6977

Other practice location 2

622 Riverside Dr
Monroe, LA 71201-6211
Phone (318) 398-0945

Other practice location 3

201 W Bayou St
Farmerville, LA 71241-2707
Phone (318) 368-3363

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 Arts

State licenses

LicenseStateTypeSpecialty
PLC8027LAMDMental Health Counselor
8027LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1104390657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-355-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-355-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013400",
            "country_code": "US",
            "telephone_number": "318-429-6977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "318-398-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W Bayou St",
            "address_purpose": "LOCATION",
            "city": "Farmerville",
            "state": "LA",
            "postal_code": "712412707",
            "country_code": "US",
            "telephone_number": "318-368-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURR",
        "first_name": "BRITTANY",
        "middle_name": "GRAY",
        "name_prefix": "Mrs.",
        "credential": "M.A, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC8027",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8027",
            "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 Apr 5, 2022; 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.