NPIMap

Organization Active NPI

The Childrens Counseling Center of Shreveport Inc

  • Professional Counselor
  • Princeton, LA
National Provider Identifier
1659530319
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
112 Issued in LA
Legal business name
THE CHILDRENS COUNSELING CENTER OF SHREVEPORT INC
Practice address
225 Mahaffey Rd
Princeton, LA 71067
Phone
(318) 949-0951
Fax
(318) 949-0951
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Jess M McEntee IV, LPC
Title
President Therapist
Phone
(318) 949-0951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 112 LA Primary

Addresses

Primary practice location

225 Mahaffey Rd
Princeton, LA 71067

Mailing address

225 Mahaffey Rd
Princeton, LA 71067
Phone (318) 949-0951

Other identifiers 2

IdentifierTypeStateIssuer
4434895890OtherLABLUE CROSS OF LA
552827OtherLAMAGELLAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1659530319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAHAFFEY RD",
            "city": "PRINCETON",
            "state": "LA",
            "postal_code": "71067",
            "telephone_number": "318-949-0951",
            "fax_number": "318-949-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAHAFFEY RD",
            "city": "PRINCETON",
            "state": "LA",
            "postal_code": "71067",
            "telephone_number": "318-949-0951",
            "fax_number": "318-949-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS COUNSELING CENTER OF SHREVEPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "MCENTEE",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT THERAPIST",
        "authorized_official_telephone_number": "318-949-0951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "4434895890",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "552827",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.