Active NPI
Shirley Chess Gray
- Addiction (Substance Use Disorder) Counselor
- Terrytown, LA
National Provider Identifier
1952932063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1321
- Practice address
- 1799 Stumpf Blvd Ste 2
Terrytown, LA 70056-3950 - Phone
- (504) 367-4234
- Fax
- (504) 367-4237
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1321 | LA | Primary |
Addresses
Primary practice location
1799 Stumpf Blvd Ste 2
Terrytown, LA 70056-3950
Mailing address
301 Travis Dr
Avondale, LA 70094-2549
Phone (504) 442-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1321 | LA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1952932063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 TRAVIS DR",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942549",
"telephone_number": "504-442-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1799 STUMPF BLVD STE 2",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700563950",
"telephone_number": "504-367-4234",
"fax_number": "504-367-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "SHIRLEY",
"middle_name": "CHESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "1321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terrytown, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.