Kerri Patricia Vines, CIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5857 Issued in LA

Practice address

6240 Greenwood Rd
Shreveport, LA 71119-8413

Phone

(318) 562-6320

Fax

(318) 855-8779

NPI assigned

Nov 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kerri Small Vines Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1831912955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 BARRON RD LOT 412",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710477353",
            "telephone_number": "318-510-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198413",
            "telephone_number": "318-562-6320",
            "fax_number": "318-855-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "KERRI",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "CIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "VINES",
            "middle_name": "SMALL",
            "prefix": "MS.",
            "credential": "CIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vijoydeep Rao MD & Willis-Knighton Medical Center
• Chelsey Vincent, LMSW
• Emily Vincent, LCSW
• Ronald Daniel Vincent, CRNA
• Suzanne Vines McMillian, LOTR
• Lauren Christy Vines
• Casey Vining, OTR/L
• Floyd Ray Vining, CRNA
• Stephen Vining
• Conseulea Vinson-Carey

• Addiction (Substance Use Disorder) Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.