Individual provider Active NPI

Kimberly Crow, LPC

  • Counselor
  • Shreveport, LA
National Provider Identifier
1649620782
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
910 Pierremont Rd Ste 300
Shreveport, LA 71106-2056
Phone
(318) 562-6616
NPI assigned
Jun 20, 2016
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

910 Pierremont Rd Ste 300
Shreveport, LA 71106-2056

Mailing address

910 Pierremont Rd Ste 300
Shreveport, LA 71106-2056
Phone (318) 562-6616

Other practice location 1

3821 Southern Ave
Shreveport, LA 71106-1033
Phone (318) 946-8157

Other practice location 2

622 Riverside Dr
Monroe, LA 71201-6211
Phone (318) 398-0945

Other practice location 3

3003 Knight St Ste 115
Shreveport, LA 71105-2561
Phone (318) 230-6540

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

OrganizationSpecialtyStatusNew patients
Active Recovery LLC Past Accepting new patients
Forever Wellness & Recovery LLC PastSince Jan 24, 2021 Accepting new patients

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1649620782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PIERREMONT RD STE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062056",
            "telephone_number": "318-562-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PIERREMONT RD STE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062056",
            "telephone_number": "318-562-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711061033",
            "country_code": "US",
            "telephone_number": "318-946-8157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "318-398-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Knight St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052561",
            "country_code": "US",
            "telephone_number": "318-230-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROW",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Jan 22, 2021; 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.