Active NPI
Hco Behavioral Health
- Counselor
- Shreveport, LA
National Provider Identifier
1790471886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- HCO BEHAVIORAL HEALTH
- Doing business as
- HCO Behavioral Health
- Practice address
- 2021 N Kirkwood Dr
Shreveport, LA 71118-4714 - Phone
- (318) 525-8706
- NPI assigned
- Apr 12, 2023
- Last updated
- Apr 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Ellis Johnson, PLPC
- Title
- PLPC
- Phone
- (318) 525-8706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2021 N Kirkwood Dr
Shreveport, LA 71118-4714
Mailing address
2021 N Kirkwood Dr
Shreveport, LA 71118-4714
Phone (318) 525-8706
Other names 1
- HCO Behavioral Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Mesquite, TX
- NPI 1386114536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681257600000",
"number": "1790471886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N KIRKWOOD DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711184714",
"telephone_number": "318-525-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N KIRKWOOD DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711184714",
"telephone_number": "318-525-8706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCO BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "ELLIS",
"authorized_official_title_or_position": "PLPC",
"authorized_official_telephone_number": "318-525-8706",
"authorized_official_credential": "PLPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HCO Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.