Active NPI
Lauren Nicole Crandall, LPC
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1154793099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5735
- Practice address
- 9076 Southern Charm Dr
Shreveport, LA 71115-3643 - Phone
- (805) 990-8441
- NPI assigned
- Oct 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5735 | LA | Primary |
Addresses
Primary practice location
9076 Southern Charm Dr
Shreveport, LA 71115-3643
Mailing address
9076 Southern Charm Dr
Shreveport, LA 71115-3643
Phone (805) 990-8441
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 |
|---|---|---|---|
| 5735 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1154793099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9076 SOUTHERN CHARM DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153643",
"telephone_number": "805-990-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9076 SOUTHERN CHARM DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153643",
"telephone_number": "805-990-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5735",
"primary": true
}
],
"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 Jun 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.