Austin Michael Theriot, RPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

527 Crockett St
Shreveport, LA 71101-3601

Phone

(318) 222-8511

NPI assigned

Jul 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1902643455
  NPD
• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1699955815
  NPD (past)

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1265261069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 CROCKETT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013601",
            "telephone_number": "318-222-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "AUSTIN",
        "middle_name": "MICHAEL",
        "credential": "RPSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Virginia House, LLC
• Camille Theisen, RN
• Blaine Michael Theodos
• Therapeutic Kneads, LLC
• Theres No Place Like Home Care
• Pamela Elaine Theriot, O.D.
• Sindhu Thevuthasan
• Daphne Thibeaux
• Meredith Wade Thibodeaux, P.A.-C
• Richard Seth Thibodeaux

• Peer Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Peer Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.