Betty Jo Gingles

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8733 Issued in LA

Practice address

2000 Fairfield Ave
Shreveport, LA 71104-2002

Phone

(318) 222-8511

Fax

(318) 425-9670

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gingles Enterprises LLC

  • Professional Counselor
  • Bossier, LA
  • NPI 1760206080
  NPD
• CBS Act Center LLC

  • Community/Behavioral Health Agency
  • Shreveport, LA
  • NPI 1396081097
  NPD (past)
• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1699955815
  NPD (past)
• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1902643455
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1740948769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HAWN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076532",
            "telephone_number": "318-226-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511",
            "fax_number": "318-425-9670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Crockett St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013601",
            "country_code": "US",
            "telephone_number": "318-222-8511 x1110",
            "fax_number": "318-425-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGLES",
        "first_name": "BETTY JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8733",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy W Gilmore, R.T.
• Tyler Gilmore, MD
• Kiora Samone Gilyard
• Tamerick Gilyard
• Nubari Abarile Gimah
• Sandra L Ginsburg
• Jessica Jean Giordano, MD
• Passion Giounes
• Alexis Michelle Gipson
• Brandon R Gipson, LOTR

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.