Active NPI
Mary Strong, LPC-S, RPT, CAS
- Mental Health Counselor
- Bossier City, LA
National Provider Identifier
1124493218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3018 Old Minden Rd Ste 1206
Bossier City, LA 71112-2543 - Phone
- (318) 350-7676
- Fax
- (318) 350-6767
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 86068 | TX | |
| Mental Health Counselor | 101YM0800X | 7144 | LA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3018 Old Minden Rd Ste 1206
Bossier City, LA 71112-2543
Mailing address
731 Acklen St Ste 230
Shreveport, LA 71104-3901
Phone (318) 670-8858
Other practice location 1
7505 Pines Rd Ste 1230
Shreveport, LA 71129-3900
Phone (318) 562-3707 ext. 31856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043842750 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | creativecommunitycounseling@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7144 | LA | MD | Mental Health Counselor |
| 86068 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1124493218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 ACKLEN ST STE 230",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043901",
"telephone_number": "318-670-8858",
"fax_number": "318-670-8947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 OLD MINDEN RD STE 1206",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711122543",
"telephone_number": "318-350-7676",
"fax_number": "318-350-6767"
}
],
"practiceLocations": [
{
"address_1": "7505 Pines Rd Ste 1230",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711293900",
"country_code": "US",
"telephone_number": "318-562-3707 x31856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRONG",
"first_name": "MARY",
"credential": "LPC-S, RPT, CAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "86068",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "7144",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043842750",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "creativecommunitycounseling@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3018 Old Minden Rd Ste 1206",
"city": "Bossier City",
"state": "LA",
"country_code": "US",
"postal_code": "711122543",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.