Organization Active NPI

Center for Advocating Restoring and Empowering Counseling LLC

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1689341539
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTER FOR ADVOCATING RESTORING AND EMPOWERING COUNSELING LLC
Practice address
5902 Buncombe Rd
Shreveport, LA 71129
Phone
(318) 200-0866
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Crystal WardNPI 1184098311
Title
Ceo/ LCSW
Phone
(318) 200-0866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5902 Buncombe Rd
Shreveport, LA 71129

Mailing address

1651 E 70TH St # 379
Shreveport, LA 71105-5115
Phone (318) 200-0866

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1689341539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E 70TH ST # 379",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055115",
            "telephone_number": "318-200-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 BUNCOMBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-200-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVOCATING RESTORING AND EMPOWERING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO/ LCSW",
        "authorized_official_telephone_number": "318-200-0866"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 Sep 10, 2021; 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.