Individual provider Active NPI

Samantha Klingenberg, LPC, LAC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1518505601
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10048 Issued in LA
Practice address
3825 Gilbert Dr Ste 106
Shreveport, LA 71104-5000
Phone
(918) 978-7287
NPI assigned
Dec 19, 2019
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 10048 LA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-5151 LA

Addresses

Primary practice location

3825 Gilbert Dr Ste 106
Shreveport, LA 71104-5000

Mailing address

3825 Gilbert Dr Ste 106
Shreveport, LA 71104-5000
Phone (918) 978-7287

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

LicenseStateTypeSpecialty
LAC-5151LAMDAddiction (Substance Use Disorder) Counselor
10048LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Court of Calm and Clarity LLC PastSince Oct 5, 2025 Accepting new patients
Forever Wellness & Recovery LLC PastSince Dec 1, 2019 Accepting new patients

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1518505601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 GILBERT DR STE 106",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045000",
            "telephone_number": "918-978-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 GILBERT DR STE 106",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045000",
            "telephone_number": "918-978-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGENBERG",
        "first_name": "SAMANTHA",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "10048",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC-5151",
            "primary": false
        }
    ],
    "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 10, 2026; 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.