Individual provider Active NPI

Tammy Plater

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1407333735
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PLC9007 Issued in LA
Practice address
2015 Fairfield Ave Ste 1a
Shreveport, LA 71104-2066
Phone
(318) 675-0406
Fax
(318) 675-0408
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X PLC9007 LA Primary

Addresses

Primary practice location

2015 Fairfield Ave Ste 1a
Shreveport, LA 71104-2066

Mailing address

2015 Fairfield Ave Ste 1a
Shreveport, LA 71104-2066
Phone (318) 675-0406

Other identifiers 1

IdentifierTypeStateIssuer
1103927MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310000903 LA Practitioner - Mental Health Counselor 6204845753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PLC9007LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Enrichment Programs LLC CurrentSince Dec 18, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Feb 10, 2026 Accepting new patients

Locations

2015 Fairfield Ave
Ste 1A
Shreveport, LA 71104
Phone (318) 675-0406

842 Margaret Pl
Shreveport, LA 71101
Phone (318) 675-0406

6560 Youree Dr
Ste 1003
Shreveport, LA 71105

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.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1407333735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 FAIRFIELD AVE STE 1A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042066",
            "telephone_number": "318-675-0406",
            "fax_number": "318-675-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 FAIRFIELD AVE STE 1A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042066",
            "telephone_number": "318-675-0406",
            "fax_number": "318-675-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATER",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC9007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103927",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.