Individual provider Active NPI

Melissa Abigail Lozano

  • Marriage & Family Therapist
  • Ruston, LA
National Provider Identifier
1447881271
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT1576 Issued in LA
Practice address
2402 Kavanaugh Rd
Ruston, LA 71270-9541
Phone
(424) 645-2058
NPI assigned
Jan 30, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT117572 CA
Marriage & Family Therapist 106H00000X MFT1576 LA Primary

Addresses

Primary practice location

2402 Kavanaugh Rd
Ruston, LA 71270-9541

Mailing address

2402 Kavanaugh Rd
Ruston, LA 71270-9541
Phone (424) 645-2058

Other identifiers 1

IdentifierTypeStateIssuer
3074544MedicaidLA

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
I20250213000726 LA Practitioner - Marriage and Family Therapist 2466982947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT117572CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thinktrek LLC Mental Health CurrentSince Feb 1, 2025 Accepting new patients

Locations

3018 Old Minden Rd
Ste 1200
Bossier City, LA 71112
Phone (318) 224-7223

206 E Reynolds Dr
Ste F2
Ruston, LA 71270
Phone (318) 224-7223

622 Burgessville Rd
Ruston, LA 71270
Phone (318) 224-7223

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, 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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1447881271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 KAVANAUGH RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712709541",
            "telephone_number": "424-645-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 KAVANAUGH RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712709541",
            "telephone_number": "424-645-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "MELISSA",
        "middle_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT117572",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074544",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.