Active NPI
Elliott Jones
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1588012082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2800 Youree Dr Ste 482
Shreveport, LA 71104-3666 - Phone
- (318) 869-1899
- Fax
- (318) 862-3554
- NPI assigned
- May 25, 2016
- Last updated
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2800 Youree Dr Ste 482
Shreveport, LA 71104-3666
Mailing address
2800 Youree Dr
Shreveport, LA 71104-3661
Other names 1
- Elliott Ramon Jones
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Shreveport | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican Bayou Counseling Agency Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1760852511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1588012082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 YOUREE DR STE 482",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043666",
"telephone_number": "318-869-1899",
"fax_number": "318-862-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ELLIOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Shreveport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2800 Youree Dr",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711043661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELLIOTT",
"last_name": "JONES",
"middle_name": "RAMON",
"code": "2",
"type": "Professional Name"
}
]
}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 Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.