Organization Active NPI

Valenciamhp

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1902649494
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VALENCIAMHP
Practice address
520 Olive St Ste 203
Shreveport, LA 71104-2312
Phone
(318) 200-0341
NPI assigned
Jun 13, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Valencia Annazette Jones, LPCNPI 1538637632
Title
Owner
Phone
(318) 200-0341

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

520 Olive St Ste 203
Shreveport, LA 71104-2312

Mailing address

228 Washington St
Shreveport, LA 71104-3312
Phone (318) 200-0341

National Provider Directory

National Provider Directory

Locations

520 Olive St
Ste 203
Shreveport, LA 71104
Phone (318) 200-0341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1902649494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WASHINGTON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043312",
            "telephone_number": "318-200-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 OLIVE ST STE 203",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042312",
            "telephone_number": "318-200-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIAMHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "ANNAZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-200-0341",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Jun 13, 2024; 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.