Individual provider Active NPI

D'Shawn Paul Etienne, LPC, PLMFT

  • Professional Counselor
  • West Monroe, LA
National Provider Identifier
1447817614
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7908 Issued in LA
Practice address
403 N 6TH St
Suite 2
West Monroe, LA 71291
Phone
(318) 737-7201
Fax
(318) 737-7693
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1387 LA
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 7908 LA Primary

Addresses

Primary practice location

403 N 6TH St
Suite 2
West Monroe, LA 71291

Mailing address

403 N 6TH St Ste 2
West Monroe, LA 71291-4119

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
I20240409002515 LA Practitioner - Marriage and Family Therapist 5496193583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding SolaceGroup PAC ID 2668818972, 14 clinicians

Practice addresses (Care Compare)

403 N 6TH St
Suite 2
West Monroe, LA 71291-4119
Phone (318) 737-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1387LAMDAddiction (Substance Use Disorder) Counselor
7908LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Solace Professional CurrentSince Mar 4, 2024 Accepting new patients

Locations

403 N 6th St
Ste 2
West Monroe, LA 71291
Phone (318) 737-7201

Organizations & group practices 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1447817614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N 6TH ST STE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 6TH ST",
            "address_2": "SUITE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71291",
            "telephone_number": "318-737-7201",
            "fax_number": "318-737-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "D'SHAWN",
        "middle_name": "PAUL",
        "credential": "LPC, PLMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-06-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1387",
            "primary": false
        },
        {
            "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": "7908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.