Active NPI
Renata D Mahoney, LPC, NCC, NCSC
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1891587861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8914
- Practice address
- 1950 E. 70TH Street
Suite C and D
Shreveport, LA 71105 - Phone
- (318) 759-7020
- Fax
- (318) 383-0698
- NPI assigned
- May 19, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8914 | LA | Primary |
Addresses
Primary practice location
1950 E. 70TH Street
Suite C and D
Shreveport, LA 71105
Mailing address
1950 E. 70TH Street
Suite C and D
Shreveport, LA 71105
Phone (318) 759-7020
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 |
|---|---|---|---|
| 8914 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1891587861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 E. 70TH STREET",
"address_2": "SUITE C AND D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71105",
"telephone_number": "318-759-7020",
"fax_number": "318-383-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E. 70TH STREET",
"address_2": "SUITE C AND D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71105",
"telephone_number": "318-759-7020",
"fax_number": "318-383-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "RENATA",
"middle_name": "D",
"credential": "LPC, NCC, NCSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "8914",
"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 May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.