Active NPI
Mariah Zoe-Erika Bridges
- Peer Specialist
- Shreveport, LA
National Provider Identifier
1376351742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 527 Crockett St
Shreveport, LA 71101-3601 - Phone
- (318) 222-8511
- NPI assigned
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1902643455
-
- Substance Abuse Rehabilitation Facility
- Shreveport, LA
- NPI 1699955815
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council on Alcoholism and Drug Abuse of Northwest Louisiana | Current | Accepting new patients | |
| Council on Alcoholism and Drug Abuse of Northwest Louisiana | Past | Accepting new patients |
Locations
527 Crockett St
Shreveport, LA 71101
Phone (318) 222-8511
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
527 Crockett St
Shreveport, LA 71101-3601
Mailing address
3506 Kresswick St
Bossier City, LA 71112-3709
Phone (318) 426-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2024.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1376351742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 KRESSWICK ST",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711123709",
"telephone_number": "318-426-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 CROCKETT ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013601",
"telephone_number": "318-222-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "MARIAH",
"middle_name": "ZOE-ERIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"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 Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.