Individual provider Active NPI

Cindy Ann Thomas, LAC, CCGC

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
National Provider Identifier
1912043324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CCGC#130 Issued in LA
Practice address
6005 Financial PLZ
Shreveport, LA 71129-2615
Phone
(318) 632-2040
Fax
(318) 632-2073
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC# 897 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X CCGC#130 LA Primary

Addresses

Primary practice location

6005 Financial PLZ
Shreveport, LA 71129-2615

Mailing address

6005 Financial PLZ
Shreveport, LA 71129-2615
Phone (318) 632-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000367 LA Practitioner - Mental Health Counselor 2668961210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2400 Texas Ave
Unit 37776
Shreveport, LA 71133-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCGC#130LAMDAddiction (Substance Use Disorder) Counselor
LAC# 897LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Behaviors Counseling Agency, LLC Addiction (Substance Use Disorder) CurrentSince Oct 21, 2025 Accepting new patients

Locations

2400 Texas Ave
Unit 37776
Shreveport, LA 71133
Phone (318) 232-8132

Interoperability endpoints

  • Direct secure messaging: cindythomas@nlhsd.direct.kno2fy.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912043324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 FINANCIAL PLZ",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292615",
            "telephone_number": "318-632-2040",
            "fax_number": "318-632-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 FINANCIAL PLZ",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292615",
            "telephone_number": "318-632-2040",
            "fax_number": "318-632-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CINDY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LAC, CCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC# 897",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CCGC#130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.