Active NPI
Caleb Lytle
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1205219235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5654
- Practice address
- 4300 Youree Dr
Ste 320-D
Shreveport, LA 71105-3329 - Phone
- (318) 415-9345
- NPI assigned
- Jul 8, 2015
- Last updated
- Jul 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 5654 | LA | Primary |
Addresses
Primary practice location
4300 Youree Dr
Ste 320-D
Shreveport, LA 71105-3329
Mailing address
4300 Youree Dr
Ste 320-D
Shreveport, LA 71105-3329
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 |
|---|---|---|---|
| 5654 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Pennsylvania | Past | Accepting new patients | |
| Merakey Pennsylvania | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Monroe, LA
- NPI 1740789312
-
- Community/Behavioral Health Agency
- Lake Charles, LA
- NPI 1871867887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1205219235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 YOUREE DR",
"address_2": "STE 320-D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 YOUREE DR",
"address_2": "STE 320-D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053329",
"telephone_number": "318-415-9345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYTLE",
"first_name": "CALEB",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Marhonda Lashese Lyons, LMSW
- Tenecha Latoya Lyons, LCSW
- Warmetris Da'Jon Lyons
- Lakenya Lyrse, NP
- Lysa Transportation Service LLC
- M & D Enterprises, LLC (Red River Respiratory)
- M & E Reliable Transports, LLC
- M Patrick Davenport Appc
- M. Craig Bozeman, M.D., a.P.M.C.
- M. Todd Lobrano, Psychologist, L.L.C. (Goebel, Vigen, & Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.