Active NPI
Katlin Willey
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1154775260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010204542
- Practice address
- 2620 Centenary Blvd
312
Shreveport, LA 71104-3356 - Phone
- (318) 681-9935
- NPI assigned
- Apr 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010204542 | LA | Primary |
Addresses
Primary practice location
2620 Centenary Blvd
312
Shreveport, LA 71104-3356
Mailing address
2620 Centenary Blvd
312
Shreveport, LA 71104-3356
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 |
|---|---|---|---|
| 010204542 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1154775260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CENTENARY BLVD",
"address_2": "312",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 CENTENARY BLVD",
"address_2": "312",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043356",
"telephone_number": "318-681-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "KATLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "010204542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Maloree Breanne Wilkins
- Serena Deann Wilkins, MD
- Andrew Wilkinson
- Christina Ashley Willard
- Grace Willcox
- William D Parker MD and Willis-Knighton Medical Center
- William L. Eddleman, MD, Apmc
- Laerica Williams Brown
- Williams Counseling Services of Shreveport, LLC
- Williams Property and Transportation Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.