Organization Active NPI

Circle of Friends Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1912447095
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CIRCLE OF FRIENDS COUNSELING CENTER, LLC
Practice address
700 Pierre Ave
Suite a
Shreveport, LA 71103-2725
Phone
(318) 532-9214
Fax
(318) 603-6622
NPI assigned
Mar 8, 2017
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Ms. Darnell Linnear, MBANPI 1093232621
Title
Director
Phone
(318) 532-9214

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Point of Service 305S00000X LA
Counselor 101Y00000X NU
Community Health Worker 172V00000X NU
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

700 Pierre Ave
Suite a
Shreveport, LA 71103-2725

Mailing address

700 Pierre Ave
Suite a
Shreveport, LA 71103-2725
Phone (318) 532-9214

Other identifiers 1

IdentifierTypeStateIssuer
1912447095MedicaidLA

National Provider Directory

National Provider Directory

Locations

700 Pierre Ave
Ste A
Shreveport, LA 71103
Phone (318) 532-9214

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1912447095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PIERRE AVE",
            "address_2": "SUITE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032725",
            "telephone_number": "318-532-9214",
            "fax_number": "318-603-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PIERRE AVE",
            "address_2": "SUITE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032725",
            "telephone_number": "318-532-9214",
            "fax_number": "318-603-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "LINNEAR",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-532-9214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912447095",
            "state": "LA"
        }
    ],
    "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 Sep 17, 2018; 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.