Shelley Visconte, Psychologist, L.L.C.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SHELLEY VISCONTE, PSYCHOLOGIST, L.L.C.

Doing business as

Goebel, Vigen, & Associates

Practice address

3341 Youree Dr Ste 20a
Shreveport, LA 71105-2149

Phone

(318) 425-2000

Fax

(318) 424-2601

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimber L Fuller

Title

Office Manager

Phone

(318) 425-2000

Specialties & licenses 1

Addresses

Other names 1

• Goebel, Vigen, & Associates Doing business as

Locations

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1881224608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY VISCONTE, PSYCHOLOGIST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-425-2000"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goebel, Vigen, & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Shearer, MD
• Lonzo Sheffield III
• Mohammad Sheikh
• Christopher Lindon Shelby, MD
• Latricia Nicole Shelby
• Patricia Shelton-Rambo, PTA
• Shantel Shelton-Rogers
• Anjelicia Terez Shelton, MPA
• Beth Nicole Shelton, CPHT, RPHT
• Brandi Shelton

• Counseling Psychologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Counseling Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.