Active NPI
Sonya Parker Poole, LPC NCC NCSP
- Professional Counselor
- Mansfield, LA
National Provider Identifier
1508140708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4230
- Practice address
- 399 Jenkins St
Mansfield, LA 71052-3128 - Phone
- (318) 469-1556
- NPI assigned
- Oct 6, 2011
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AN576528 | LA | |
| Professional Counselor | 101YP2500X | 4230 | LA | Primary |
Addresses
Primary practice location
399 Jenkins St
Mansfield, LA 71052-3128
Mailing address
702 Bethel Rd
Logansport, LA 71049-2346
Phone (318) 469-1556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710113 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4230 | LA | MD | Professional Counselor |
| AN576528 | LA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1508140708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 BETHEL RD",
"city": "LOGANSPORT",
"state": "LA",
"postal_code": "710492346",
"telephone_number": "318-469-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 JENKINS ST",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710523128",
"telephone_number": "318-469-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "SONYA",
"middle_name": "PARKER",
"name_prefix": "Dr.",
"credential": "LPC NCC NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "LA",
"license": "AN576528",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710113",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.