Individual provider Active NPI

Sarah Moreno, PLPC

  • Counselor
  • Shreveport, LA
National Provider Identifier
1366057846
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PLC8494 Issued in LA
Practice address
1303 Line Ave
Shreveport, LA 71101-4628
Phone
(183) 425-3400
Fax
(183) 425-3447
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X PLC8494 LA Primary

Addresses

Primary practice location

1303 Line Ave
Shreveport, LA 71101-4628

Mailing address

1303 Line Ave
Shreveport, LA 71101-4628
Phone (183) 425-3400

Other practice location 1

1533 Marshall St
Shreveport, LA 71101-3941
Phone (318) 626-5597

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

State licenses

LicenseStateTypeSpecialty
PLC8494LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Behavioral Health Louisiana LLC PastSince Dec 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1366057846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014628",
            "telephone_number": "183-425-3400",
            "fax_number": "183-425-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014628",
            "telephone_number": "183-425-3400",
            "fax_number": "183-425-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1533 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013941",
            "country_code": "US",
            "telephone_number": "318-626-5597",
            "fax_number": "318-626-5691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC8494",
            "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 Dec 8, 2022; 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.