Individual provider Active NPI

Jacqueline M Gilcrease, M.S., PLPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1487010708
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6252 Issued in LA
Practice address
800 Spring St
Ste. 215
Shreveport, LA 71101-3758
Phone
(318) 227-8390
NPI assigned
Jan 4, 2016
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125004342 LA Practitioner - Mental Health Counselor 7911350939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6252LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.