Active NPI
Terrance Monquez Neal
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1508355744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 47-510-2749
- Practice address
- 9403 Mansfield Rd
Shreveport, LA 71118-3815 - Phone
- (318) 861-8939
- Fax
- (318) 862-3554
- NPI assigned
- May 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 47-510-2749 | LA | Primary |
Addresses
Primary practice location
9403 Mansfield Rd
Shreveport, LA 71118-3815
Mailing address
964 Wintergarden Drive Unit 25
Shreveport, LA 71107
Phone (318) 840-7469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760852511 | 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 |
|---|---|---|---|
| 47-510-2749 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1508355744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 WINTERGARDEN DRIVE UNIT 25",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71107",
"telephone_number": "318-840-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183815",
"telephone_number": "318-861-8939",
"fax_number": "318-862-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "TERRANCE",
"middle_name": "MONQUEZ",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "47-510-2749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760852511",
"state": "LA"
}
],
"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 May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.