Ebony Caprice Beal-Collins

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2920 Knight St Ste 110
Shreveport, LA 71105-2412

Phone

(318) 459-1600

Fax

(318) 861-2798

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1942976063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 HOLLYHOCK LN",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124920",
            "telephone_number": "318-294-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 KNIGHT ST STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052412",
            "telephone_number": "318-459-1600",
            "fax_number": "318-861-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL-COLLINS",
        "first_name": "EBONY",
        "middle_name": "CAPRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be You Outreach Center
• Karen Beabout, PA-C, MPAS
• Benjamin Ames Beach, D.D.S.
• Katie Melancon Beach, DDS
• Hadi Beaini, MD
• Lauren Mitchell Beal
• Michael J. Beal, MD
• Calvin Beaner Sr.
• Patrice A Beaner
• Carrie L. Bearden, MD

• 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 Aug 18, 2021; 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.