Active NPI
George M Wolcott, LPC, LMFT, EDD
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1699743286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 106
- Practice address
- 820 Jordan St
Ste. 570
Shreveport, LA 71101-4518 - Phone
- (318) 221-4455
- Fax
- (318) 221-4459
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 106 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 15 | LA |
Addresses
Primary practice location
820 Jordan St
Ste. 570
Shreveport, LA 71101-4518
Mailing address
820 Jordan St
Ste. 570
Shreveport, LA 71101-4518
Phone (318) 221-4455
Other names 1
- Dr. George M Wolcott
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 |
|---|---|---|---|
| 106 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 15 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Grayson LCSW LLC | Past | Accepting new patients | |
| Center for Psychological Trauma, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1588853048
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1336855279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1699743286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 JORDAN ST",
"address_2": "STE. 570",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014518",
"telephone_number": "318-221-4455",
"fax_number": "318-221-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 JORDAN ST",
"address_2": "STE. 570",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014518",
"telephone_number": "318-221-4455",
"fax_number": "318-221-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "GEORGE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "LPC, LMFT, EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "106",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "15",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "WOLCOTT",
"middle_name": "M",
"prefix": "DR.",
"credential": "LPC, LMFT, EDD",
"code": "5",
"type": "Other Name"
}
]
}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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.