Beyond the Brick Wall

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BEYOND THE BRICK WALL

Practice address

820 Jordan St Ste 550
Shreveport, LA 71101-4526

Phone

(318) 734-9022

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Nowlin Gardner

Title

Practice Manager

Phone

(318) 734-8492

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Suzette Gardner

  • Marriage & Family Therapist
  • Shreveport, LA
  • NPI 1548901044
  Medicare reassignment NPD
• Eddie Paul Millhollon, PH.D., LPC-S

  • Professional Counselor
  • Shreveport, LA
  • NPI 1033426515
  NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1730908104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-734-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-734-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE BRICK WALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NOWLIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "318-734-8492"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1548901044",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Betzing, PA-C
• Shannon Lea Betzing, PA
• Jordan Bevans, MD
• Christie Bevel
• Thelma Shamel Beverly
• Beyond the Crossroads Counseling Center
• Anand Krishna Bhat, M.D.
• Jayalakshmi Bhat
• Ramachandra Bhat, M.D.
• Shahzeem Tajuddin Bhayani, M.D.

• Marriage & Family Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.