Active NPI
Jacqueline M Gilcrease, M.S., PLPC
- Professional Counselor
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6252
- Practice address
- 800 Spring St
Ste. 215
Shreveport, LA 71101-3758 - Phone
- (318) 227-8390
- NPI assigned
- Jan 4, 2016
- Last updated
- Sep 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6252 | LA | |
| Professional Counselor | 101YP2500X | 6252 | LA | Primary |
Addresses
Primary practice location
800 Spring St
Ste. 215
Shreveport, LA 71101-3758
Mailing address
855 Elmwood St
Shreveport, LA 71104-4801
Phone (318) 547-6154
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6252 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients |
Locations
1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500
2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242
777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242
12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742
128 Homer Rd
Minden, LA 71055
Phone (318) 227-3350
401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350
7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671
4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300
3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350
9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350
7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812
1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252
441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019
351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742
5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750
3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170
3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350
Interoperability endpoints
- jacqueline.gilcrease.p1@direct.davidraineschc.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1215933254
-
dba David Raines Community Health Center- Mobile Medical Unit #3
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1205721487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1487010708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 ELMWOOD ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044801",
"telephone_number": "318-547-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRING ST",
"address_2": "STE. 215",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013758",
"telephone_number": "318-227-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILCREASE",
"first_name": "JACQUELINE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "M.S., PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "6252",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6252",
"primary": true
}
],
"identifiers": [],
"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 Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.