Individual provider Active NPI

Shereva Lewis, MA, LPC

  • Professional Counselor
  • Denham Springs, LA
National Provider Identifier
1831558600
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7202 Issued in LA
Practice address
1951 Florida Ave SW Ste D&E
Denham Springs, LA 70726-4947
Phone
(225) 665-0473
Fax
(225) 665-0283
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7202 LA Primary

Addresses

Primary practice location

1951 Florida Ave SW Ste D&E
Denham Springs, LA 70726-4947

Mailing address

17541 Eagles Perch Dr
Prairieville, LA 70769-6069
Phone (337) 254-2629

Other names 1

  • Shereva Lewis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229001265 LA Practitioner - Mental Health Counselor 4981049954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Parishes Human Services Authority CurrentSince Jan 1, 2024 Accepting new patients
Florida Parishes Human Services Authority CurrentSince Jan 1, 2024 Accepting new patients
Rustic Roots Counseling Center, LLC CurrentSince Aug 28, 2021 Accepting new patients
Florida Parishes Human Services Authority Past Accepting new patients

Locations

400 Georgia Ave
Ste 1
Bogalusa, LA 70427
Phone (985) 732-6610

1951 Florida Ave SW
Ste De
Denham Springs, LA 70726
Phone (225) 665-0283

1951 Florida Ave SW
#D
Denham Springs, LA 70726

1951 Florida Ave SW
Denham Springs, LA 70726
Phone (225) 665-0473

1951 Florida Ave SW
Ste D
Denham Springs, LA 70726
Phone (225) 665-0473

835 Pride Dr
Ste B
Hammond, LA 70401
Phone (985) 543-4333

900 Wilkinson St
Mandeville, LA 70448
Phone (985) 624-4450

2331 Carey St
Slidell, LA 70458
Phone (985) 646-6406

Organizations & group practices 4

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1831558600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17541 EAGLES PERCH DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707696069",
            "telephone_number": "337-254-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 FLORIDA AVE SW STE D&E",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264947",
            "telephone_number": "225-665-0473",
            "fax_number": "225-665-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHEREVA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEREVA",
            "last_name": "LEWIS",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.