Individual provider Active NPI

Shawanda Benton

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1386047462
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5070 Issued in LA
Practice address
6554 Florida Blvd Ste 1102523
Baton Rouge, LA 70806-4474
Phone
(225) 350-4096
NPI assigned
Oct 2, 2014
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5070 LA Primary

Addresses

Primary practice location

6554 Florida Blvd Ste 1102523
Baton Rouge, LA 70806-4474

Mailing address

6554 Florida Blvd Ste 1102523
Baton Rouge, LA 70806-4474
Phone (225) 350-4096

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
5070LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling and Consultation LLC Current Accepting new patients
Release to Restore Behavioral Health Services Counselor Current Accepting new patients

Locations

12090 S Harrells Ferry Rd
Ste D2
Baton Rouge, LA 70816
Phone (225) 317-9383

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1386047462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 FLORIDA BLVD STE 1102523",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064474",
            "telephone_number": "225-350-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 FLORIDA BLVD STE 1102523",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064474",
            "telephone_number": "225-350-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "SHAWANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.