Individual provider Active NPI

Mary Strong, LPC-S, RPT, CAS

  • Mental Health Counselor
  • Bossier City, LA
National Provider Identifier
1124493218
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1043842750MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
7144LAMDMental Health Counselor
86068TXMDMental 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.

Verify at the official NPI Registry.