NPIMap

Organization Active NPI

Personal Solutions, Inc.

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1790835544
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MFT482 Issued in LA
Legal business name
PERSONAL SOLUTIONS, INC.
Practice address
8873 Quimper PL
Shreveport, LA 71105-5620
Phone
(318) 686-0012
Fax
(318) 686-0012
NPI assigned
Jan 12, 2007
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Mr. J. Durell Tuberville, PH.D
Title
Owner
Phone
(318) 686-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MFT482 LA Primary

Addresses

Primary practice location

8873 Quimper PL
Shreveport, LA 71105-5620

Mailing address

8873 Quimper PL
Shreveport, LA 71105-5620
Phone (318) 686-0012

Other names 1

  • Louisiana Critical Incident Stress Management Former legal business name

National Provider Directory

National Provider Directory

Locations

8873 Quimper Pl
Shreveport, LA 71105
Phone (318) 686-0012

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1790835544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8873 QUIMPER PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055620",
            "telephone_number": "318-686-0012",
            "fax_number": "318-686-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8873 QUIMPER PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055620",
            "telephone_number": "318-686-0012",
            "fax_number": "318-686-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "TUBERVILLE",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DURELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-686-0012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "MFT482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Critical Incident Stress Management",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 20, 2014; 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.