Active NPI
Terresa S Robinson, LPC
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1598794000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3485
- Practice address
- 1519 Creswell Ave
Shreveport, LA 71101-4774 - Phone
- (318) 458-2331
- Fax
- (318) 603-0197
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3485 | LA | Primary |
Addresses
Primary practice location
1519 Creswell Ave
Shreveport, LA 71101-4774
Mailing address
PO Box 8023
Shreveport, LA 71148-8023
Phone (318) 458-2331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3487853 | Medicaid | LA | |
| 3485 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3485 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1598794000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8023",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711488023",
"telephone_number": "318-458-2331",
"fax_number": "318-603-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 CRESWELL AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014774",
"telephone_number": "318-458-2331",
"fax_number": "318-603-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TERRESA",
"middle_name": "S",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3487853",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3485",
"state": "LA"
}
],
"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 Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.