Individual provider Active NPI

Shari Lynn Moncla, LPC/LMFT

  • Marriage & Family Therapist
  • Shreveport, LA
National Provider Identifier
1740587542
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1155 Issued in LA
Practice address
820 Jordan St
Ste. 510-E
Shreveport, LA 71101-4518
Phone
(318) 773-1613
Fax
(318) 390-6334
NPI assigned
Feb 15, 2011
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3291 LA
Marriage & Family Therapist 106H00000X 1155 LA Primary

Addresses

Primary practice location

820 Jordan St
Ste. 510-E
Shreveport, LA 71101-4518

Mailing address

9843 Country Lake LN
Bethany, LA 71007-9502
Phone (318) 773-1613

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
3291LAMDProfessional Counselor
1155LAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1740587542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9843 COUNTRY LAKE LN",
            "city": "BETHANY",
            "state": "LA",
            "postal_code": "710079502",
            "telephone_number": "318-773-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "STE. 510-E",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-773-1613",
            "fax_number": "318-390-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCLA",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC/LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3291",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1155",
            "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 Jul 17, 2014; 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.