Organization Active NPI

Frederica Johnson Counseling Services, LLC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1902557507
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FREDERICA JOHNSON COUNSELING SERVICES, LLC
Practice address
416 Travis St Ste 1002
Shreveport, LA 71101-5503
Phone
(318) 924-0553
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Frederica Johnson, LPCNPI 1154781383
Title
Licensed Professional Counselor
Phone
(318) 924-0553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

416 Travis St Ste 1002
Shreveport, LA 71101-5503

Mailing address

2829 Youree Dr Ste 2
Shreveport, LA 71104-3640

National Provider Directory

National Provider Directory

Locations

416 Travis St
Ste 1002
Shreveport, LA 71101
Phone (318) 924-0553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1902557507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 YOUREE DR STE 2",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 TRAVIS ST STE 1002",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015503",
            "telephone_number": "318-924-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICA JOHNSON COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDERICA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "318-924-0553",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Jan 10, 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.

Verify at the official NPI Registry.