Active NPI
Larry Lee Smith Jr., M.S
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1174995138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9611
- Practice address
- 6015 Hearne Avenue
Shreveport, LA 71108 - Phone
- (318) 210-7307
- NPI assigned
- Oct 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 9611 | LA | |
| Mental Health Counselor | 101YM0800X | 9611 | LA | Primary |
Addresses
Primary practice location
6015 Hearne Avenue
Shreveport, LA 71108
Mailing address
4827 Rice Rd
Shreveport, LA 71119
Other names 1
- Mr. Larry Lee Smith Jr.
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC9611 | LA | MD | Professional Counselor |
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": "1781136000000",
"number": "1174995138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4827 RICE RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 HEARNE AVENUE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71108",
"telephone_number": "318-210-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LARRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-29",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9611",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "9611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARRY",
"last_name": "SMITH",
"middle_name": "LEE",
"prefix": "MR.",
"suffix": "JR.",
"credential": "M.S",
"code": "2",
"type": "Professional Name"
}
]
}
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 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.