Jack Lawrence Chandler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9325 Issued in LA

Practice address

2920 Knight St BLDG 1
Shreveport, LA 71105-2412

Phone

(318) 429-6938

NPI assigned

Sep 1, 2016

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Volunteers of America of North Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1417252230
  NPD
• Active Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
  • NPI 1285998716
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1184171654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 KNIGHT ST BLDG 1",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052412",
            "telephone_number": "318-429-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 KNIGHT ST BLDG 1",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052412",
            "telephone_number": "318-429-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711061033",
            "country_code": "US",
            "telephone_number": "318-946-8157",
            "fax_number": "318-216-5868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "458 Herndon St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014859",
            "country_code": "US",
            "telephone_number": "318-221-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JACK",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cander Chance, APRN
• Jody Dale Chance, MD
• Linda Bock Chance, CCC-SLP
• Debbie A Chandler, M.D.
• Felicia Chandler
• Shadaria Nicole Chandler, LCSW
• Shelbie Chandler
• Tina Yvette Chandler
• Wendy Chandler
• Yolanda Thomas Chandler, RN

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.