Individual provider Active NPI

Chester E Johnson Jr., LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1194199208
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
96952 Issued in TX
Practice address
82O Jordan St
Suite 510a
Shreveport, LA 71101
Phone
(318) 861-1090
NPI assigned
Dec 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7635 LA
Professional Counselor 101YP2500X 96952 TX Primary
Mental Health Counselor 101YM0800X 96952 TX

Addresses

Primary practice location

82O Jordan St
Suite 510a
Shreveport, LA 71101

Mailing address

5900 Valleybrook Dr
Plano, TX 75093-7738
Phone (585) 261-2369

Other practice location 1

9696 Skillman St Ste 170
Dallas, TX 75243-8253
Phone (469) 680-3500

Other practice location 2

16160 Midway Rd Ste 218
Addison, TX 75001-4207
Phone (469) 680-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240224000006 LA Practitioner - Mental Health Counselor 2466897921 Reassigns benefits to 1 organization
I20250801003339 TX Practitioner - Mental Health Counselor 2466897921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7635LAMDProfessional Counselor
96952TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Case Manager/Care Coordinator CurrentSince Aug 18, 2025 Accepting new patients
Millennial 7 Counseling LLC Professional Current Accepting new patients

Locations

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 686-3161

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

16160 Midway Rd
Ste 218
Addison, TX 75001
Phone (469) 680-3500

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

9696 Skillman St
Ste 170
Dallas, TX 75243
Phone (469) 680-3500

1380 River Bend Dr
Dallas, TX 75247
Phone (214) 743-1272

Interoperability endpoints

  • Direct secure messaging: chester.johnson.p1@direct.davidraineschc.nextgenshare.com

Organizations & group practices 5

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1194199208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 VALLEYBROOK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937738",
            "telephone_number": "585-261-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82O JORDAN ST",
            "address_2": "SUITE 510A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-861-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9696 Skillman St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752438253",
            "country_code": "US",
            "telephone_number": "469-680-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16160 Midway Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750014207",
            "country_code": "US",
            "telephone_number": "469-680-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHESTER",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7635",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96952",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "96952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.