Active NPI
Cecelia Simon
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1376342352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PLC9764
- Practice address
- 283 Olympia Dr
Shreveport, LA 71106-7557 - Phone
- (972) 310-3109
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PLC9764 | LA | Primary |
Addresses
Primary practice location
283 Olympia Dr
Shreveport, LA 71106-7557
Mailing address
283 Olympia Dr
Shreveport, LA 71106-7557
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
| License | State | Type | Specialty |
|---|---|---|---|
| PLC9764 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1376342352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 OLYMPIA DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 OLYMPIA DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067557",
"telephone_number": "972-310-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CECELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "PLC9764",
"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 Mar 11, 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.