Shakira Laquinta Edwards

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

630 W Cornerview St
Gonzales, LA 70737-2742

Phone

(225) 647-4105

NPI assigned

Dec 17, 2019

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shakira.edwards.1@16720.direct.athenahealth.com

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.

• Capitol City Family Health Center Incorporated

  dba CareSouth

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1265548614
  Medicare reassignment
• Open Arms Behavioral Services

  dba Open Arms Behavioral Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gonzales, LA
  • NPI 1154855591
  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1750929055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 GOODWOOD BLVD STE A1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067740",
            "telephone_number": "225-431-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W CORNERVIEW ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372742",
            "telephone_number": "225-647-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHAKIRA",
        "middle_name": "LAQUINTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy Care, Inc.
• Easy Care, Inc.
• Easy Care, Inc.
• Allan L. Edmunds
• Celeste Edwards, DDS
• Mitzi Ehrlich
• El Shaddai Psychiatric Clinic Dba Advent Health Clinic
• Dalia Hany El-Desoky
• Heather Ellingson, PSYD
• Empowering Minds Counseling Center

• Mental Health Counselor in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.