Individual provider Active NPI

Penny Louise Millhollon, PH.D., LMFT, LPC

  • Marriage & Family Therapist
  • Shreveport, LA
National Provider Identifier
1669670246
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
987 Issued in LA
Practice address
820 Jordan St Ste 565
Shreveport, LA 71101-4526
Phone
(318) 734-9244
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 987 LA Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3071 LA

Addresses

Primary practice location

820 Jordan St Ste 565
Shreveport, LA 71101-4526

Mailing address

272 Hanging Moss TRL
Shreveport, LA 71106-7621

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
I20250808002903 LA Practitioner - Marriage and Family Therapist 7719485705 Practice locations: Shreveport, LA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Jordan St
Suite 565
Shreveport, LA 71101-4526
Phone (318) 734-9244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Grayson LCSW LLC CurrentSince Jan 29, 2023 Accepting new patients
Center for Psychological Trauma, LLC CurrentSince Nov 22, 2020 Accepting new patients

Locations

820 Jordan St
Ste 570
Shreveport, LA 71101
Phone (318) 221-4455

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1669670246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HANGING MOSS TRL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 565",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-734-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLHOLLON",
        "first_name": "PENNY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PH.D., LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "987",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.