Satyaprabha Reddy Bollam, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4362 Issued in LA

Practice address

820 Jordan St
Shreveport, LA 71101-4518

Phone

(318) 458-7713

Fax

(318) 754-4195

NPI assigned

Jun 6, 2011

Last updated

Dec 4, 2015By 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 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1598059719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-458-7713",
            "fax_number": "318-754-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-458-7713",
            "fax_number": "318-754-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAM",
        "first_name": "SATYAPRABHA",
        "middle_name": "REDDY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5863",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4362",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12182",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4613",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Bolden
• Maranda Bolden
• Mark Bolding, MBA
• Amelia Boley
• Lauren Elizabeth Boley, P.A.
• Haliee Bolling
• Ariana Bolumen-Lopez, MD
• Natalie Wooley Bomar, LOTR
• Bombinamd LLC
• Willliam Bond, CRNA

• 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 Dec 4, 2015; 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.