Individual provider Active NPI

Sharonda C Thomas, M.ED, MHP

  • Case Manager/Care Coordinator
  • Shreveport, LA
National Provider Identifier
1336571058
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2620 Centenary Blvd Ste 312
Shreveport, LA 71104-3358
Phone
(318) 681-9935
Fax
(318) 681-9938
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Case Manager/Care Coordinator 171M00000X LA Primary
Mental Health Counselor 101YM0800X LA

Addresses

Primary practice location

2620 Centenary Blvd Ste 312
Shreveport, LA 71104-3358

Mailing address

2620 Centenary Blvd Ste 312
Shreveport, LA 71104-3358
Phone (318) 681-9935

Other identifiers 1

IdentifierTypeStateIssuer
1336571058MedicaidLA

Other names 1

  • Ms. Sharonda Caldwell Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hr@superiorcounseling.care Direct

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)
Not enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1336571058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD STE 312",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043358",
            "telephone_number": "318-681-9935",
            "fax_number": "318-681-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD STE 312",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043358",
            "telephone_number": "318-681-9935",
            "fax_number": "318-681-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHARONDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.ED, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336571058",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hr@superiorcounseling.care",
            "affiliation": "N",
            "endpointDescription": "human resources office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2620 Centenary Blvd Ste 312",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711043358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHARONDA",
            "last_name": "CALDWELL",
            "prefix": "MS.",
            "credential": "M.ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 2, 2023; 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.