Active NPI
Mary Ann Goss, LMSW
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1821375445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2800 Youree Dr Ste 120
Shreveport, LA 71104-3667 - Phone
- (318) 671-4341
- Fax
- (318) 220-4039
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5194 | LA | |
| Professional Counselor | 101YP2500X | 5194 | LA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 5194 | LA | |
| Group Psychotherapy Psychologist | 103TP2701X | 5194 | LA | |
| Clinical Social Worker | 1041C0700X | 5194 | LA | |
| Marriage & Family Therapist | 106H00000X | 5194 | LA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
2800 Youree Dr Ste 120
Shreveport, LA 71104-3667
Mailing address
2800 Youree Dr Ste 120
Shreveport, LA 71104-3667
Phone (318) 671-4341
Other practice location 1
252 Division St
Mansfield, LA 71052-4106
Phone (318) 461-8009
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5194 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1821375445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 YOUREE DR STE 120",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043667",
"telephone_number": "318-671-4341",
"fax_number": "318-220-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 YOUREE DR STE 120",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043667",
"telephone_number": "318-671-4341",
"fax_number": "318-220-4039"
}
],
"practiceLocations": [
{
"address_1": "252 Division St",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "LA",
"postal_code": "710524106",
"country_code": "US",
"telephone_number": "318-461-8009",
"fax_number": "318-635-1668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSS",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "5194",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5194",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "5194",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "LA",
"license": "5194",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "5194",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "5194",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"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 May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.