Individual provider Active NPI

Janique Alyisha Sneed

  • Social Worker
  • Shreveport, LA
National Provider Identifier
1710486469
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17736 Issued in LA
Practice address
2520 Crestwood Dr
Shreveport, LA 71118-2113
Phone
(318) 868-3093
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 17736 LA Primary

Addresses

Primary practice location

2520 Crestwood Dr
Shreveport, LA 71118-2113

Mailing address

8932 Jewella Ave Ste B
Shreveport, LA 71118-2117

Other practice location 1

8932 Jewella Ave Ste B
Shreveport, LA 71118-2117
Phone (318) 219-4167

Other practice location 2

5560 Mesa Springs Dr
Fort Worth, TX 76123-2120
Phone (817) 292-4600

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

LicenseStateTypeSpecialty
17736LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Talk Counseling and Therapy LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

2520 Crestwood Dr
Shreveport, LA 71118
Phone (318) 868-3093

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1710486469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 JEWELLA AVE STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CRESTWOOD DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182113",
            "telephone_number": "318-868-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8932 Jewella Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711182117",
            "country_code": "US",
            "telephone_number": "318-219-4167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5560 Mesa Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761232120",
            "country_code": "US",
            "telephone_number": "817-292-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNEED",
        "first_name": "JANIQUE",
        "middle_name": "ALYISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17736",
            "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 22, 2024; 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.