Active NPI
Patti McBride Williams, LPC, LMFT
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1679624175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1986
- Practice address
- 820 Jordan St
Suite 475
Shreveport, LA 71101-4518 - Phone
- (318) 424-4271
- Fax
- (318) 424-8194
- NPI assigned
- Jan 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1986 | LA | Primary |
| Mental Health Counselor | 101YM0800X | 16986 | TX | |
| Marriage & Family Therapist | 106H00000X | 560 | LA |
Addresses
Primary practice location
820 Jordan St
Suite 475
Shreveport, LA 71101-4518
Mailing address
820 Jordan St
Suite 475
Shreveport, LA 71101-4518
Phone (318) 424-4271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1986 | LA | MD | Social Worker |
| 560 | LA | MD | Marriage & Family Therapist |
| 16986 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1679624175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 JORDAN ST",
"address_2": "SUITE 475",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014518",
"telephone_number": "318-424-4271",
"fax_number": "318-424-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 JORDAN ST",
"address_2": "SUITE 475",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014518",
"telephone_number": "318-424-4271",
"fax_number": "318-424-8194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PATTI",
"middle_name": "MCBRIDE",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "1986",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "16986",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "560",
"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 May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.