Individual provider Active NPI

Courtney Smith

  • Case Manager/Care Coordinator
  • Shreveport, LA
National Provider Identifier
1558719757
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
800 Spring St Ste 205
Shreveport, LA 71101-3757
Phone
(318) 670-3170
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

800 Spring St Ste 205
Shreveport, LA 71101-3757

Mailing address

800 Spring St Ste 205
Shreveport, LA 71101-3757
Phone (318) 670-3170

Other practice location 1

331 Milam St
Shreveport, LA 71101
Phone (318) 213-0904

Other practice location 2

3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497
Phone (318) 746-1935

Other practice location 3

458 Herndon St
Shreveport, LA 71101-4859
Phone (318) 213-1804

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

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of North Louisiana CurrentSince Jun 1, 2022 Accepting new patients
Fairway Counseling Agency, Inc. PastSince Nov 20, 2022 Accepting new patients

Locations

458 Herndon St
Shreveport, LA 71101
Phone (318) 221-5565

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1558719757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013757",
            "telephone_number": "318-670-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013757",
            "telephone_number": "318-670-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Milam St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71101",
            "country_code": "US",
            "telephone_number": "318-213-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3018 Old Minden Rd Ste 1117",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711122497",
            "country_code": "US",
            "telephone_number": "318-746-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "458 Herndon St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014859",
            "country_code": "US",
            "telephone_number": "318-213-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 13, 2022; 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.