Active NPI
Mime Boyter
- Counselor
- Shreveport, LA
National Provider Identifier
1689579179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2924 Knight St Ste 369
Shreveport, LA 71105-2413 - Phone
- (318) 210-0587
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2924 Knight St Ste 369
Shreveport, LA 71105-2413
Mailing address
423 W Louisiana Ave
Vivian, LA 71082-2823
Phone (318) 210-0587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1689579179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 W LOUISIANA AVE",
"city": "VIVIAN",
"state": "LA",
"postal_code": "710822823",
"telephone_number": "318-210-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 KNIGHT ST STE 369",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052413",
"telephone_number": "318-210-0587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYTER",
"first_name": "MIME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.