Active NPI
Donna Henderson, LPC
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1740722891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5867
- Practice address
- 200 N Thomas Dr
Suite 1a
Shreveport, LA 71107-6503 - Phone
- (318) 424-8345
- NPI assigned
- Nov 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5867 | LA | Primary |
Addresses
Primary practice location
200 N Thomas Dr
Suite 1a
Shreveport, LA 71107-6503
Mailing address
7607 Fern Ave Ste 903
Shreveport, LA 71105-5745
Phone (318) 524-9954
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5867 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1740722891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 FERN AVE STE 903",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055745",
"telephone_number": "318-524-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N THOMAS DR",
"address_2": "SUITE 1A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711076503",
"telephone_number": "318-424-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "DONNA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "5867",
"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 Apr 11, 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.