Active NPI
Kathleen M Rhodes, LMFT, LPC
- Marriage & Family Therapist
- Shreveport, LA
National Provider Identifier
1396808044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 516
- Practice address
- 1002 Highland Ave
Suite 303
Shreveport, LA 71101-4143 - Phone
- (318) 424-5008
- Fax
- (318) 741-9964
- NPI assigned
- Dec 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2350 | LA | |
| Marriage & Family Therapist | 106H00000X | 516 | LA | Primary |
Addresses
Primary practice location
1002 Highland Ave
Suite 303
Shreveport, LA 71101-4143
Mailing address
31 Waterbury Dr
Bossier City, LA 71111-8200
Phone (318) 424-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3045 | Other | LA | BCBS |
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 |
|---|---|---|---|
| 516 | LA | MD | Marriage & Family Therapist |
| 2350 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244332800000",
"number": "1396808044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 WATERBURY DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711118200",
"telephone_number": "318-424-5008",
"fax_number": "318-741-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 HIGHLAND AVE",
"address_2": "SUITE 303",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014143",
"telephone_number": "318-424-5008",
"fax_number": "318-741-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "LMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2009-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2350",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H3045",
"state": "LA"
}
],
"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 Jun 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.