Active NPI
Kendall Robinson
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1669903928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4360 Roy Rd Apt 902
Shreveport, LA 71107-2420 - Phone
- (903) 239-3742
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4360 Roy Rd Apt 902
Shreveport, LA 71107-2420
Mailing address
4360 Roy Rd Apt 902
Shreveport, LA 71107-2420
Phone (903) 239-3742
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1669903928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 ROY RD APT 902",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711072420",
"telephone_number": "903-239-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 ROY RD APT 902",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711072420",
"telephone_number": "903-239-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KENDALL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"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 Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.