Active NPI
Zaldjuanaka King-Douglas
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1700419728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3939 Linwood Ave
Shreveport, LA 71108-2415 - Phone
- (318) 868-3093
- Fax
- (318) 868-3094
- NPI assigned
- Feb 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3939 Linwood Ave
Shreveport, LA 71108-2415
Mailing address
3939 Linwood Ave
Shreveport, LA 71108-2415
Phone (318) 868-3093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813288219 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | letstalk@counseling1.net | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let'S Talk Counseling and Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1679926885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1700419728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 LINWOOD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711082415",
"telephone_number": "318-868-3093",
"fax_number": "318-868-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 LINWOOD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711082415",
"telephone_number": "318-868-3093",
"fax_number": "318-868-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-DOUGLAS",
"first_name": "ZALDJUANAKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "813288219",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "letstalk@counseling1.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3939 Linwood Ave",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711082415",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.