Individual provider Active NPI

Robert Lawless, LPC

  • Mental Health Counselor
  • Bossier City, LA
National Provider Identifier
1356724520
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5142 Issued in LA
Practice address
1504 Barksdale Blvd
Bossier City, LA 71111-4602
Phone
(318) 222-4299
Fax
(318) 425-2696
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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 5142 LA Primary

Addresses

Primary practice location

1504 Barksdale Blvd
Bossier City, LA 71111-4602

Mailing address

1504 Barksdale Blvd
Bossier City, LA 71111-4602
Phone (318) 222-4299

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
I20241101000829 LA Practitioner - Mental Health Counselor 3678006384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology Associates of NW Louisiana LLCGroup PAC ID 8022421320, 6 clinicians

Practice addresses (Care Compare)

3341 Youree Dr
Suite 20a
Shreveport, LA 71105-2149
Phone (318) 425-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5142LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of N.W. Louisiana, L.L.C. CurrentSince Oct 7, 2024 Accepting new patients
Success Counseling Services North Dba Success Insite Past Accepting new patients

Locations

3341 Youree Dr
Ste 20A
Shreveport, LA 71105
Phone (318) 425-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1356724520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BARKSDALE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114602",
            "telephone_number": "318-222-4299",
            "fax_number": "318-425-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BARKSDALE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114602",
            "telephone_number": "318-222-4299",
            "fax_number": "318-425-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.