Individual provider Active NPI

Lydia Michelle Sonnek

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1114491297
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9429 Issued in LA
Practice address
6009 Financial PLZ Ste 102
Shreveport, LA 71129-2615
Phone
(318) 828-1455
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9429 LA Primary
Case Manager/Care Coordinator 171M00000X LA

Addresses

Primary practice location

6009 Financial PLZ Ste 102
Shreveport, LA 71129-2615

Mailing address

512 Carnaby CT
Bossier City, LA 71111-5572
Phone (601) 529-1498

Other practice location 1

512 Carnaby Ct
Bossier City, LA 71111-5572
Phone (601) 529-1498

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

State licenses

LicenseStateTypeSpecialty
9429LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Rehabilitation and Resource Center, Inc PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 1

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1114491297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CARNABY CT",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115572",
            "telephone_number": "601-529-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 FINANCIAL PLZ STE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292615",
            "telephone_number": "318-828-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Carnaby Ct",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711115572",
            "country_code": "US",
            "telephone_number": "601-529-1498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNEK",
        "first_name": "LYDIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9429",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 14, 2025; 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.