Individual provider Active NPI

Kimberlee Taylor McMurray, LPC-S

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1114387792
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5776 Issued in LA
Practice address
3004 Knight St Ste 149
Shreveport, LA 71105-2502
Phone
(318) 227-8390
NPI assigned
Feb 25, 2016
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5776 LA Primary

Addresses

Primary practice location

3004 Knight St Ste 149
Shreveport, LA 71105-2502

Mailing address

1513 Gentilly Dr
Shreveport, LA 71105-5401
Phone (318) 771-1519

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
I20251007000868 LA Practitioner - Mental Health Counselor 0749787828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Synergy Way
Holly Hill, FL 32117-2502

3041 Dr Martin Luther King Dr
Shreveport, LA 71107-4705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Sep 2, 2025 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
David Raines Community Health Center, Inc CurrentSince Sep 2, 2025 Accepting new patients

Locations

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

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

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

128 Homer Rd
Minden, LA 71055
Phone (318) 227-3350

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

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

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

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

Interoperability endpoints

  • Direct secure messaging: kimberlee.mcmurray.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1114387792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 GENTILLY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055401",
            "telephone_number": "318-771-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 KNIGHT ST STE 149",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052502",
            "telephone_number": "318-227-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "KIMBERLEE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.