Individual provider Active NPI

Regina R Rye, MS, NCC, LPC, LAC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1912377243
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8349 Issued in LA
Practice address
2400 Texas Ave Unit 37776
Shreveport, LA 71133-5083
Phone
(318) 709-9933
Fax
(318) 670-8683
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CIT-5000 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-5097 LA
Mental Health Counselor 101YM0800X PLC8349 LA
Professional Counselor 101YP2500X PLC8349 LA
Case Manager/Care Coordinator 171M00000X PLC8349 LA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 8349 LA Primary

Addresses

Primary practice location

2400 Texas Ave Unit 37776
Shreveport, LA 71133-5083

Mailing address

PO Box 37776
Shreveport, LA 71133-7776

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
I20250402000053 LA Practitioner - Mental Health Counselor 9032520457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
CIT-5000LAMDAddiction (Substance Use Disorder) Counselor
LAC-5097LAMDAddiction (Substance Use Disorder) Counselor
PLC8349LAMDMental Health Counselor
8349LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Behaviors Counseling Agency, LLC Addiction (Substance Use Disorder) CurrentSince Mar 4, 2025 Accepting new patients

Locations

7505 Pines Rd
Ste 1270
Shreveport, LA 71129

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

400 Texas St
Ste 105007
Shreveport, LA 71101

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1912377243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37776",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711337776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 TEXAS AVE UNIT 37776",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711335083",
            "telephone_number": "318-709-9933",
            "fax_number": "318-670-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYE",
        "first_name": "REGINA",
        "middle_name": "R",
        "credential": "MS, NCC, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5000",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC-5097",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC8349",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC8349",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC8349",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.