Active NPI
Celia Johnson
- Community/Behavioral Health Agency
- Shreveport, LA
National Provider Identifier
1891210217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2203782947
- Practice address
- 1500 N Market St
Shreveport, LA 71107-6537 - Phone
- (131) 862-6559
- Fax
- (318) 626-5597
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2203782947 | LA | Primary |
Addresses
Primary practice location
1500 N Market St
Shreveport, LA 71107-6537
Mailing address
1500 N Market St
Shreveport, LA 71107-6537
Phone (318) 626-5597
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2203782947 | LA | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1891210217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711076537",
"telephone_number": "13186265597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711076537",
"telephone_number": "131-862-6559",
"fax_number": "318-626-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "2203782947",
"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 Aug 7, 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.