Individual provider Active NPI

Shamarra Williams

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1114379344
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9534 Issued in LA
Practice address
1950 Earl St
Shreveport, LA 71108-2908
Phone
(318) 294-4336
NPI assigned
Jul 12, 2016
Reactivated
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X LA
Professional Counselor 101YP2500X 9534 LA Primary

Addresses

Primary practice location

1950 Earl St
Shreveport, LA 71108-2908

Mailing address

6141 Masters Dr
Shreveport, LA 71129-4117
Phone (318) 294-4336

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
I20251008003929 LA Practitioner - Mental Health Counselor 7416454145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Raines Community Health Center, Inc.Group PAC ID 4688586118, 14 clinicians

Practice addresses (Care Compare)

12763 Lay St
Gilliam, LA 71029-0001
Phone (318) 227-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Aug 25, 2025 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Aug 25, 2025 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients

Locations

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

Interoperability endpoints

  • Direct secure messaging: sharmarrs.williams.p1@direct.davidraineschc.nextgenshare.com

Organizations & group practices 3

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1114379344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 MASTERS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711294117",
            "telephone_number": "318-294-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 EARL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082908",
            "telephone_number": "318-294-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAMARRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "deactivation_date": "2023-03-22",
        "reactivation_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.