Jacqueline Yevette Pouncy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

200 N Thomas Dr
Shreveport, LA 71107-6503

Phone

(318) 424-8345

NPI assigned

Oct 24, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Contemporary Family Services, Inc

  • Mental Health Counselor
  • Shreveport, LA
  • NPI 1790203784
  NPD (past)
• Contemporary Quality Care LLC

  • Community/Behavioral Health Agency
  • Shreveport, LA
  • NPI 1083836407

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1851802383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N THOMAS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N THOMAS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076503",
            "telephone_number": "318-424-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNCY",
        "first_name": "JACQUELINE",
        "middle_name": "YEVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522089886",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David G Pou, M.D.
• Dhiraj Poudel
• Kylee Brooke Poudrier, FNP
• Amena Nichole Pouncy
• Chanara T Pouncy
• Leo Pouncy
• Patricia Pouncy, B.S.
• Jeremiah M Pounds
• Tracy W. Pourciau, M.S., CCC-SLP
• Powell Medical Center Minististries Inc

• 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 Oct 24, 2017; 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.