Active NPI
Teresa Moham
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1386253359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9403 Mansfield Rd
Shreveport, LA 71118-3815 - Phone
- (318) 861-8938
- Fax
- (318) 862-3554
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9403 Mansfield Rd
Shreveport, LA 71118-3815
Mailing address
9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone (318) 861-8938
Other practice location 1
3939 Linwood Ave
Shreveport, LA 71108-2415
Phone (318) 868-3093
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | letstalk@counseling1.net | ||
| Other URL | letstalk@counseling1.net |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1386253359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183815",
"telephone_number": "318-861-8938",
"fax_number": "318-862-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183815",
"telephone_number": "318-861-8938",
"fax_number": "318-862-3554"
}
],
"practiceLocations": [
{
"address_1": "3939 Linwood Ave",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711082415",
"country_code": "US",
"telephone_number": "318-868-3093",
"fax_number": "318-868-3094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAM",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "letstalk@counseling1.net",
"affiliation": "N",
"address_1": "3939 Linwood Ave",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711082415",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "letstalk@counseling1.net",
"affiliation": "N",
"address_1": "3939 Linwood Ave",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711082415",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 9, 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.