Active NPI
Chelette Holden, LPC, LMFT
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1144597709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3054
- Practice address
- 1717 Marshall St
Shreveport, LA 71101-4139 - Phone
- (318) 226-9944
- Fax
- (318) 226-9942
- NPI assigned
- Nov 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3054 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 3054 | LA |
Addresses
Primary practice location
1717 Marshall St
Shreveport, LA 71101-4139
Mailing address
1717 Marshall St
Shreveport, LA 71101-4139
Phone (318) 226-9944
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 |
|---|---|---|---|
| 3054 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1144597709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MARSHALL ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014139",
"telephone_number": "318-226-9944",
"fax_number": "318-226-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 MARSHALL ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014139",
"telephone_number": "318-226-9944",
"fax_number": "318-226-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "CHELETTE",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3054",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "3054",
"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 Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.