Individual provider Active NPI

Lakesha Mosley-Davis, MS, NCC, LPC-S

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1750808523
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7638 Issued in LA
Practice address
333 Texas St, 1300 Boardwalk Blvd
1300 Boardwalk Blvd
Shreveport, LA 71104
Phone
(318) 405-1382
NPI assigned
Aug 23, 2017
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7638 LA
Counselor 101Y00000X 0701011208 VA
Mental Health Counselor 101YM0800X 7638 LA
Mental Health Counselor 101YM0800X 0701011208 VA
Professional Counselor 101YP2500X 0701011208 VA
Professional Counselor 101YP2500X 7638 LA Primary

Addresses

Primary practice location

333 Texas St, 1300 Boardwalk Blvd
1300 Boardwalk Blvd
Shreveport, LA 71104

Mailing address

7109 Pine Oak LN
Greenwood, LA 71033-3377
Phone (318) 405-1382

Other names 1

  • Mrs. Lakesha D Mosley-Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003381 VA Practitioner - Mental Health Counselor 7911342456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1657 W Broad St
Suite 200
Richmond, VA 23220-2118
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701011208VAMDProfessional Counselor
7638LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Rehabilitation Services of Northwest Louisiana, LLC PastSince Jun 25, 2023 Accepting new patients

Locations

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1750808523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 PINE OAK LN",
            "city": "GREENWOOD",
            "state": "LA",
            "postal_code": "710333377",
            "telephone_number": "318-405-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TEXAS ST, 1300 BOARDWALK BLVD",
            "address_2": "1300 BOARDWALK BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71104",
            "telephone_number": "318-405-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY-DAVIS",
        "first_name": "LAKESHA",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "7638",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701011208",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7638",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011208",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011208",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKESHA",
            "last_name": "MOSLEY-DAVIS",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "MS, NCC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.