Fanetta Maquail Houston

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC7978 Issued in LA

Practice address

458 Herndon St
Shreveport, LA 71101-4859

Phone

(318) 429-6938

NPI assigned

Jul 29, 2019

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Volunteers of America of North Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1417252230
  NPD
• Council for Advancement of Social Service and Education

  dba CASSE - Shreveport Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1306455456
  NPD (past)
• Council for Advancement of Social Service and Education

  dba CASSE - DIAMC Health Center

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1467061515
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1659925626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 MILLICENT WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152237",
            "telephone_number": "662-312-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-429-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "FANETTA",
        "middle_name": "MAQUAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC7978",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "LPC7978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raha Hosseini, PHARMD
• Donna Hostnick, RN
• Mostafa Hotait, MD
• Brian House
• Demetrial Houston
• Felicia D Houston
• Kiani Houston
• Latoya Houston
• Shadontre Houston
• Shaundred Dejuan Houston, MHP

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.