NPIMap

Organization Active NPI

Northwest Lousiana Human Services District

Doing business as Shreveport Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
National Provider Identifier
1821421686
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2203782546 Issued in LA
Legal business name
NORTHWEST LOUSIANA HUMAN SERVICES DISTRICT
Doing business as
Shreveport Behavioral Health Clinic
Practice address
1310 N. Hearne Ave
Shreveport, LA 71107-6516
Phone
(318) 676-5111
Fax
(318) 676-5021
NPI assigned
Aug 15, 2013
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Ms. Rosa Bates
Title
Administrative Program Specialist a
Phone
(318) 676-5643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2203782546 LA Primary

Addresses

Primary practice location

1310 N. Hearne Ave
Shreveport, LA 71107-6516

Mailing address

1310 N Hearne Ave
Shreveport, LA 71107-6516
Phone (318) 676-5643

Other identifiers 2

IdentifierTypeStateIssuer
2203782546OtherLABEHAVIORAL HEALTH SERVICE PROVIDER
1710083MedicaidLA

Other names 1

  • Shreveport Behavioral Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140412000086 LA Part B Supplier - Clinic/Group Practice 1456580398 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
Practice locations: Minden, LA; Shreveport, LA; Natchitoches, LA; Many, LA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Many Behavioral Health Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1821421686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5643",
            "fax_number": "318-676-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N. HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5111",
            "fax_number": "318-676-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LOUSIANA HUMAN SERVICES DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROGRAM SPECIALIST A",
        "authorized_official_telephone_number": "318-676-5643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "2203782546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH SERVICE PROVIDER",
            "identifier": "2203782546",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710083",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHREVEPORT BEHAVIORAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shreveport Behavioral Health Clinic",
            "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 Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.