Faith Olivia Shipley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6795 Issued in LA

Practice address

2509 Sheri LN
Shreveport, LA 71109-3025

Phone

(318) 820-6416

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Faith Over Fear Counseling Services, LLC

  • Mental Health Counselor
  • Bossier, LA
  • NPI 1821689266
  NPD Authorized official
• Reef Wellness

  • Professional Counselor
  • Shreveport, LA
  • NPI 1417574237
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1124471792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083803",
            "telephone_number": "183-213-1389",
            "fax_number": "318-213-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 SHERI LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711093025",
            "telephone_number": "318-820-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "FAITH",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viraj Shetty, MD
• Claire Shidler
• Carlina Shields
• Shining Star Professional Services Inc
• Leslie Brooks Shinpoch, CRNA
• Bethany Longino Shirley, APRN, NP-C
• Juliette Shivers, NUTRION PROFESSIONAL
• Hosein M Shokouh-Amiri, M.D.
• Sophia Tayebeh Shokouh-Amiri, MD
• Andrew Blake Sholl, M.D.

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.