Faris McCalphin, MHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8921 Mansfield Rd
Shreveport, LA 71118-2144

Phone

(318) 626-7143

NPI assigned

Oct 12, 2015

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Faris Shine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1730550104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 FAIRFIELD AVE STE 2C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042066",
            "telephone_number": "318-344-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182144",
            "telephone_number": "318-626-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014139",
            "country_code": "US",
            "telephone_number": "318-226-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALPHIN",
        "first_name": "FARIS",
        "credential": "MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARIS",
            "last_name": "SHINE",
            "credential": "MHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shamatt Shanae McCall, LMSW
• Erin McCallister, PT, DPT
• Stanley Keith McCallon
• Terry McCallum, CPRSS/PSS/WRAP
• Payton Brooks McCalmont
• Raymond Drew McCandlish, RPH
• Hollie B. McCart, MD
• Charles C McCartney III, RPH
• Hailey Tupper McCartney, MD
• James McCarty, MD

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.