NPIMap

Organization Active NPI

The Kennedy Center of Louisiana Inc

  • Foster Care Agency
  • Shreveport, LA
National Provider Identifier
1619304755
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
15886 Issued in LA
Legal business name
THE KENNEDY CENTER OF LOUISIANA INC
Practice address
809 College St
Shreveport, LA 71104-2113
Phone
(318) 675-1112
Fax
(866) 307-9980
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Ms. Tonya V Williams, LPC - LMFT
Title
Executive Director
Phone
(318) 675-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 15886 LA Primary

Addresses

Primary practice location

809 College St
Shreveport, LA 71104-2113

Mailing address

809 College St
Shreveport, LA 71104-2113
Phone (318) 675-1112

National Provider Directory

National Provider Directory
Tax ID family
The Kennedy Center of Louisiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1619304755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 COLLEGE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042113",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COLLEGE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042113",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KENNEDY CENTER OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-675-1112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC - LMFT"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "LA",
            "license": "15886",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2013; 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.