Individual provider Active NPI

Marcus Pierre, LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1164933347
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9084 Issued in LA
Practice address
633 Meadowdale PL
Shreveport, LA 71108-5710
Phone
(318) 208-9824
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9084 LA Primary

Addresses

Primary practice location

633 Meadowdale PL
Shreveport, LA 71108-5710

Mailing address

633 Meadowdale PL
Shreveport, LA 71108-5710
Phone (318) 208-9824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926001486 LA Practitioner - Mental Health Counselor 8123569480 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9084LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Counseling Services, LLC CurrentSince Aug 16, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 5, 2025 Accepting new patients

Locations

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1164933347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MEADOWDALE PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711085710",
            "telephone_number": "318-208-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MEADOWDALE PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711085710",
            "telephone_number": "318-208-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "MARCUS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.