Organization Active NPI

Unbroken Counseling, LLC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1306691837
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNBROKEN COUNSELING, LLC
Practice address
670 Albemarle Dr Ste 1303
Shreveport, LA 71106-5945
Phone
(318) 469-4550
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Jessica Oliver, LPC-SNPI 1982056495
Title
Owner
Phone
(318) 278-9867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

670 Albemarle Dr Ste 1303
Shreveport, LA 71106-5945

Mailing address

670 Albemarle Dr Ste 1303
Shreveport, LA 71106-5945
Phone (318) 469-4550

National Provider Directory

National Provider Directory

Locations

670 Albemarle Dr
Ste 1303
Shreveport, LA 71106
Phone (318) 469-4550

3825 Gilbert Dr
Ste 143
Shreveport, LA 71104
Phone (318) 200-0020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1306691837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 1303",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065945",
            "telephone_number": "318-469-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 1303",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065945",
            "telephone_number": "318-469-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBROKEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-278-9867",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2025; 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.