Individual provider Active NPI

Carlos I Amos, LPC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1811517543
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8123 Issued in LA
Practice address
7505 Pines Rd Ste 1200I
Shreveport, LA 71129-3900
Phone
(318) 716-1707
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8123 LA Primary

Addresses

Primary practice location

7505 Pines Rd Ste 1200I
Shreveport, LA 71129-3900

Mailing address

7505 Pines Rd Ste 1200I
Shreveport, LA 71129-3900
Phone (318) 716-1707

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
8123LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Matters Counseling and Therapy, LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

7505 Pines Rd
Ste 1200I
Shreveport, LA 71129
Phone (318) 716-1707

Organizations & group practices 1

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1811517543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1200I",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293900",
            "telephone_number": "318-716-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1200I",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293900",
            "telephone_number": "318-716-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "CARLOS",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8123",
            "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 Apr 22, 2020; 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.