NPIMap

Individual provider Active NPI

Eric Joseph Herpin, LAC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1205967494
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2715 Mackey PL Ste 135
Shreveport, LA 71118-2528
Phone
(318) 220-8423
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A0611075 AR
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2715 Mackey PL Ste 135
Shreveport, LA 71118-2528

Mailing address

7000 Fern Ave Apt 26
Shreveport, LA 71105-4905
Phone (318) 805-2542

Other practice location 1

609 Redwater Road
wake village, TX 75501
Phone (903) 501-8032

Other practice location 2

1371 Highway 278 W
Monticello, AR 71655-9663
Phone (870) 367-2141

Other identifiers 1

IdentifierTypeStateIssuer
4354OtherLALPC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0611075ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Power Medical Solutions Case Manager/Care Coordinator PastSince Mar 1, 2021 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Dayspring Services of Arkansas LLC Past Accepting new patients

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1205967494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 FERN AVE APT 26",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054905",
            "telephone_number": "318-805-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 135",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182528",
            "telephone_number": "318-220-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Redwater Road",
            "address_purpose": "LOCATION",
            "city": "wake village",
            "state": "TX",
            "postal_code": "75501",
            "country_code": "US",
            "telephone_number": "903-501-8032",
            "fax_number": "903-582-7338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1371 Highway 278 W",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716559663",
            "country_code": "US",
            "telephone_number": "870-367-2141",
            "fax_number": "870-367-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERPIN",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A0611075",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4354",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2021; 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.