Organization Active NPI

Thinktrek LLC

Doing business as Center for Counseling and Psychological Resources

  • Professional Counselor
  • Ruston, LA
National Provider Identifier
1215415229
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THINKTREK LLC
Doing business as
Center for Counseling and Psychological Resources
Practice address
622 Burgessville Rd
Ruston, LA 71270-5154
Phone
(318) 224-7223
Fax
(318) 415-1004
NPI assigned
Aug 1, 2018
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jill Shannon Waltemate
Title
Owner
Phone
(318) 675-9775

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

622 Burgessville Rd
Ruston, LA 71270-5154

Mailing address

622 Burgessville Rd
Ruston, LA 71270-5154
Phone (318) 224-7223

Other practice location 1

517 Creswell Ave
Shreveport, LA 71101-4032
Phone (318) 224-7223

Other practice location 2

2909 N Trenton St
Ruston, LA 71270-2443
Phone (318) 224-7223

Other practice location 3

3018 Old Minden Rd Ste 1200
Bossier City, LA 71112-2476
Phone (318) 224-7223

Other identifiers 1

IdentifierTypeStateIssuer
3176025MedicaidLA

Other names 1

  • Center for Counseling and Psychological Resources Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125003776 LA Part B Supplier - Clinic/Group Practice 1951754951 Receives reassigned benefits from 20 practitioners
Practice locations: Bossier City, LA; Ruston, LA

National Provider Directory

National Provider Directory
Tax ID family
Center for Counseling and Psychological Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

206 E Reynolds Dr
Ste F2
Ruston, LA 71270
Phone (318) 224-7223

622 Burgessville Rd
Ruston, LA 71270
Phone (318) 224-7223

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1215415229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BURGESSVILLE RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705154",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BURGESSVILLE RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705154",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Creswell Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014032",
            "country_code": "US",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 N Trenton St",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712702443",
            "country_code": "US",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3018 Old Minden Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711122476",
            "country_code": "US",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THINKTREK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "WALTEMATE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-675-9775"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3176025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Counseling and Psychological Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.