Individual provider Active NPI

Erroll Hogan

  • Case Manager/Care Coordinator
  • Shreveport, LA
National Provider Identifier
1831562172
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
660 Riverscape Dr
Shreveport, LA 71104-1814
Phone
(318) 237-1653
NPI assigned
Nov 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008398819 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

660 Riverscape Dr
Shreveport, LA 71104-1814

Mailing address

660 Riverscape Dr
Shreveport, LA 71104-1814
Phone (318) 237-1653

Other practice location 1

2600 Celebration Cv
Unit 1105
Shreveport, LA 71105-6201
Phone (318) 237-1653

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
008398819LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1831562172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 RIVERSCAPE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711041814",
            "telephone_number": "318-237-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 RIVERSCAPE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711041814",
            "telephone_number": "318-237-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Celebration Cv",
            "address_2": "Unit 1105",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711056201",
            "country_code": "US",
            "telephone_number": "318-237-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "ERROLL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "008398819",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "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 Jul 24, 2018; 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.