Individual provider Active NPI

La Shauna Owens Madison, LPC

  • Professional Counselor
  • Natchitoches, LA
National Provider Identifier
1699010496
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7533 Issued in LA
Practice address
210 Medical Dr
Natchitoches, LA 71457-6052
Phone
(318) 357-3122
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 7533 LA Primary

Addresses

Primary practice location

210 Medical Dr
Natchitoches, LA 71457-6052

Mailing address

210 Medical Dr
Natchitoches, LA 71457-6052
Phone (318) 676-5643

Other practice location 1

256 Highland Dr
Many, LA 71449
Phone (318) 256-4206

Other identifiers 1

IdentifierTypeStateIssuer
7533OtherLALPC LICENSE #

Other names 1

  • La Shauna Charmaine Owens Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122001464 LA Practitioner - Mental Health Counselor 2567810260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Lousiana Human Services DistrictGroup PAC ID 1456580398, 15 clinicians

Practice addresses (Care Compare)

210 Medical Dr
Natchitoches, LA 71457-6052
Phone (318) 357-3122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7533LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Lousiana Human Services District CurrentSince Jan 1, 2024 Accepting new patients
Northwest Lousiana Human Services District CurrentSince Jan 1, 2024 Accepting new patients
Northwest Lousiana Human Services District Current Accepting new patients

Locations

210 Medical Dr
Natchitoches, LA 71457
Phone (318) 357-3122

1310 N Hearne Ave
Shreveport, LA 71107
Phone (318) 676-5111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1699010496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEDICAL DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576052",
            "telephone_number": "318-676-5643",
            "fax_number": "318-676-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576052",
            "telephone_number": "318-357-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "71449",
            "country_code": "US",
            "telephone_number": "318-256-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADISON",
        "first_name": "LA SHAUNA",
        "middle_name": "OWENS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE #",
            "identifier": "7533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA SHAUNA",
            "last_name": "OWENS",
            "middle_name": "CHARMAINE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.