Individual provider Active NPI

Shawanda Gayton

  • Mental Health Counselor
  • Hammond, LA
National Provider Identifier
1225496037
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6172 Issued in LA
Practice address
1417 W Morris Ave
Ste. E
Hammond, LA 70403-3854
Phone
(985) 542-9949
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6172 LA Primary

Addresses

Primary practice location

1417 W Morris Ave
Ste. E
Hammond, LA 70403-3854

Mailing address

1417 W Morris Ave
Ste. E
Hammond, LA 70403-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240528002778 LA Practitioner - Mental Health Counselor 1153763719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6172LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince May 9, 2024 Accepting new patients
New Beginnings Behavioral Healthcare Inc Past Accepting new patients

Locations

6560 Youree Dr
Ste 1003
Shreveport, LA 71105

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1225496037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W MORRIS AVE",
            "address_2": "STE. E",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704033854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W MORRIS AVE",
            "address_2": "STE. E",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704033854",
            "telephone_number": "985-542-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTON",
        "first_name": "SHAWANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.