Active NPI
Penny Louise Millhollon, PH.D., LMFT, LPC
- Marriage & Family Therapist
- Shreveport, LA
National Provider Identifier
1669670246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 987 | LA | Primary |
| Professional Counselor | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Grayson LCSW LLC | Current | Accepting new patients | |
| Center for Psychological Trauma, LLC | Current | 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.
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1588853048
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1336855279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.