Organization Active NPI

Optimistic Outcomes Counseling Services, LLC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1124379177
Registry record updated Sep 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4218 Issued in LA
Legal business name
OPTIMISTIC OUTCOMES COUNSELING SERVICES, LLC
Practice address
3020 Knight St
Suite 230
Shreveport, LA 71105-2554
Phone
(318) 658-0021
NPI assigned
Sep 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2012

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

Authorized official

Name
Mrs. Jennifer Brown, LPC, NCC
Title
Counselor/Owner
Phone
(318) 658-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4218 LA Primary

Addresses

Primary practice location

3020 Knight St
Suite 230
Shreveport, LA 71105-2554

Mailing address

3020 Knight St
Suite 230
Shreveport, LA 71105-2554
Phone (318) 658-0021

National Provider Directory

National Provider Directory

Locations

3020 Knight St
Ste 230
Shreveport, LA 71105
Phone (318) 658-0021

NPI Registry JSON

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348876800000",
    "number": "1124379177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 KNIGHT ST",
            "address_2": "SUITE 230",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052554",
            "telephone_number": "318-658-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 KNIGHT ST",
            "address_2": "SUITE 230",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052554",
            "telephone_number": "318-658-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMISTIC OUTCOMES COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-29",
        "last_updated": "2012-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "318-658-0021",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4218",
            "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 Sep 29, 2012; 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.