Jennifer Flippo Duvall, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4435 Issued in LA

Practice address

856 Texas Ave
Shreveport, LA 71101-3400

Phone

(318) 429-6938

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Flippo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Volunteers of America of North Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1417252230
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1821643800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BEY ST",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124103",
            "telephone_number": "318-210-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 TEXAS AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013400",
            "telephone_number": "318-429-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "JENNIFER",
        "middle_name": "FLIPPO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FLIPPO",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla Durfee
• Ashley Durr
• Brittany Gray Durr, M.A, LPC
• Stacey Vaughn Durr, RN, CFNP
• Alexa Zaheri Dustin, MD
• Emily Dwyer
• Mary Dyas, M.S., LPC
• Jamie Dyche
• Albert James Dyer I, PASTOR
• Chauncey Dyer

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.