Carole Johnson Alexander

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4428 Issued in LA

Practice address

8575 Fern Ave Ste 108
Shreveport, LA 71105-5677

Phone

(318) 459-7702

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Residual Care LLC

  • Marriage & Family Therapist
  • Shreveport, LA
  • NPI 1710685128
  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1902665078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SPRUCE CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115121",
            "telephone_number": "318-230-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 FERN AVE STE 108",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055677",
            "telephone_number": "318-459-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CAROLE",
        "middle_name": "JOHNSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitri Aleksenko, M.D.
• Candice Alex
• Alexander Counseling and Educational Services, LLC
• Ajit Alexander, MD
• Calvin D. Alexander, M.D.
• Deandre Alexander
• Deborah Alexander, LPC
• Dequanna Alexander
• Gregory Alexander III
• Gregory Alexander

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.