Individual provider Active NPI

Micah James, LPC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1760151245
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8026 Issued in LA
Practice address
707 Southfield Rd
Shreveport, LA 71106-2219
Phone
(318) 869-1632
Fax
(318) 869-1633
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PLC8026 LA
Mental Health Counselor 101YM0800X 8026 LA Primary

Addresses

Primary practice location

707 Southfield Rd
Shreveport, LA 71106-2219

Mailing address

707 Southfield Rd
Shreveport, LA 71106-2219
Phone (318) 869-1632

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
8026LAMDMental Health Counselor
PLC8026LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interactional Services, Inc CurrentSince Jan 2, 2022 Accepting new patients
Samaritan Counseling Center Mental Health PastSince Sep 1, 2021 Accepting new patients

Locations

707 Southfield Rd
Shreveport, LA 71106
Phone (318) 869-1632

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1760151245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SOUTHFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062219",
            "telephone_number": "318-869-1632",
            "fax_number": "318-869-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SOUTHFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062219",
            "telephone_number": "318-869-1632",
            "fax_number": "318-869-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MICAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC8026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8026",
            "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 Nov 22, 2022; 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.