Kathryn Michele Macaulay, LMFT, LPC,NCC,CCMHC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT1043 Issued in LA

Practice address

Overton Brooks VA Medical Center 510 East Stoner Avenue
Shreveport, LA 71101-4295

Phone

(318) 221-8411

NPI assigned

May 4, 2007

Last updated

Nov 5, 2024By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1760694616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-221-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OVERTON BROOKS VA MEDICAL CENTER 510 EAST STONER AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014295",
            "telephone_number": "318-221-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULAY",
        "first_name": "KATHRYN",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LMFT, LPC,NCC,CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3290",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY THERAPI",
            "identifier": "106H00000X",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROFESSIONAL COUNSELO",
            "identifier": "101YP2500X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alonzo Mable II, MD
• Amanda Jane Macaskill, LCSW
• Mishuna Macdonald
• Netosha Macdonald, M. ED.
• April Macginley
• Denise Douglas Mack
• Donald Gene Mack Jr., MD

• Marriage & Family Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.