Amanda Marie Moushon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4017 Issued in LA

Practice address

2620 Centenary Blvd
Building 3, Suite 312
Shreveport, LA 71104-3356

Phone

(318) 681-9935

Fax

(318) 681-9938

NPI assigned

Feb 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Amanda Marie Harper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1376815340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 GREENWAY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052012",
            "telephone_number": "318-469-0053",
            "fax_number": "318-681-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD",
            "address_2": "BUILDING 3, SUITE 312",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "telephone_number": "318-681-9935",
            "fax_number": "318-681-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSHON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4017",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "4017",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HARPER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bina Motwani, MD
• Nabil A Moufarrej, M.D.
• Aya Mouhaffel, MD
• Allison Mourad, SLP
• Kenneth Wayne Mouser, DDS
• Dalia Fouad Moussa
• Emile K Moussaed, DDS
• Rasha Moussallem, M.D
• Danielle Mouton
• Moveable Transportation

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.