Individual provider Active NPI

Arien McKenzie Ward, PSYD

  • Clinical Psychologist
  • Bossier City, LA
National Provider Identifier
1578702643
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1002 Issued in LA
Practice address
5401 Shed Rd
Bossier City, LA 71111-5420
Phone
(318) 741-5368
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1002 LA Primary

Addresses

Primary practice location

5401 Shed Rd
Bossier City, LA 71111-5420

Mailing address

5401 Shed Rd
Bossier City, LA 71111-5420
Phone (318) 741-5368

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101115000453 LA Practitioner - Clinical Psychologist 5395870133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Center for Psychiatric SupportGroup PAC ID 6406972645, 8 clinicians

Practice addresses (Care Compare)

1111 Line Ave
Shreveport, LA 71101-3841
Phone (318) 716-4610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WK Center for Psychiatric Support CurrentSince Mar 1, 2017 Accepting new patients

Locations

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1111 Line Ave
Fl 3
Shreveport, LA 71101
Phone (318) 212-8424

1111 Line Ave
Shreveport, LA 71101
Phone (318) 212-4877

Interoperability endpoints

  • Direct secure messaging: award@direct.wkhs.com

Organizations & group practices 1

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": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1578702643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115420",
            "telephone_number": "318-741-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115420",
            "telephone_number": "318-741-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ARIEN",
        "middle_name": "MCKENZIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.