Janice E Middleton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4787 Issued in LA

Practice address

2920 Knight St Ste 110
Shreveport, LA 71105-2412

Phone

(318) 459-1600

Fax

(318) 861-2798

NPI assigned

Oct 8, 2015

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Raines Community Health Center, Inc.Group PAC ID 4688586118, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janice.middleton.p1@direct.davidraineschc.nextgenshare.com

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.

• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1215933254
  Medicare reassignment Care Compare group NPD
• David Raines Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Minden, LA
  • NPI 1265438998
  NPD
• David Raines Community Health Center, Inc

  dba David Raines Community Health Center- Mobile Medical Unit #3

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1205721487
  NPD
• David Raines Community Health Center, Inc

  dba David Raines School Based Health Center- Rusheon Middle School

  • Federally Qualified Health Center (FQHC)
  • Bossier City, LA
  • NPI 1326883091
  NPD (past)
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Walnut Hill

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1982379335
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1558732180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LINE AVE. SUITE 250",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-347-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 KNIGHT ST STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052412",
            "telephone_number": "318-459-1600",
            "fax_number": "318-861-2798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Youree Dr.",
            "address_2": "Suite 482",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71104",
            "country_code": "US",
            "telephone_number": "318-869-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 E Egan St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711015012",
            "country_code": "US",
            "telephone_number": "318-347-4437",
            "fax_number": "318-675-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "JANICE",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Michelle Middleton, NP
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• Cary H Mielke, M.D.
• Kelli Bagley Miers, OT
• Michael W. Miguez, 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 Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.