Thomas W Deslattes

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11007 Issued in LA

Practice address

820 Jordan St Ste 530
Shreveport, LA 71101-4519

Phone

(318) 560-0299

NPI assigned

Aug 14, 2024

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
  • NPI 1285998716
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1508698051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 530",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014519",
            "telephone_number": "318-560-0299",
            "fax_number": "318-560-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 530",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014519",
            "telephone_number": "318-560-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8924 Jewella Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711182100",
            "country_code": "US",
            "telephone_number": "318-560-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESLATTES",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "11007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adetokunbo B Desalu, M.D.
• Deserve2Heal
• Carli Deshautelle, PT, DPT
• Indraneel Deshmukh
• Michele Loyd Deslattes
• Billy Melvin Desoto, D.D.S.
• Destined for Options - Shreveport
• Destiny Counseling Agency
• Destiny to Wellness Transportation LLC
• Drew Richard Dethloff, MD

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.