Individual provider Active NPI

Stephanie Leigh Mesloh, M.A., LPC

  • Counselor
  • Shreveport, LA
National Provider Identifier
1609223692
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6803 Issued in LA
Practice address
3003 Knight St Ste 115
Shreveport, LA 71105-2561
Phone
(318) 227-8390
Fax
(318) 429-2414
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6803 LA Primary

Addresses

Primary practice location

3003 Knight St Ste 115
Shreveport, LA 71105-2561

Mailing address

2285 Benton Rd Ste 100
Bossier City, LA 71111-7933
Phone (318) 946-6222

Other practice location 1

2285 Benton Rd Ste 203
Bossier City, LA 71111-7933
Phone (318) 573-3771

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
I20241031001039 LA Practitioner - Mental Health Counselor 7719410638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Texas St
Suite 950
Shreveport, LA 71101-3538
Phone (318) 573-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mesloh Counseling Center, LLC Professional CurrentSince Sep 18, 2024 Accepting new patients
Healing Gardens Wellness Center Current Accepting new patients

Locations

2285 Benton Rd
Ste 203
Bossier City, LA 71111
Phone (318) 573-3771

2285 Benton Rd
Ste 100
Bossier City, LA 71111

400 Texas St
Ste 950
Shreveport, LA 71101
Phone (318) 214-7455

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1609223692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD STE 100",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117933",
            "telephone_number": "318-946-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 KNIGHT ST STE 115",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052561",
            "telephone_number": "318-227-8390",
            "fax_number": "318-429-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Benton Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117933",
            "country_code": "US",
            "telephone_number": "318-573-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESLOH",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.