Individual provider Active NPI

Lashon J Anderson, PHD PSYCHOLOGY

  • Case Manager/Care Coordinator
  • Shreveport, LA
National Provider Identifier
1962101634
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone
(318) 861-8938
Fax
(318) 862-3554
NPI assigned
Mar 1, 2023
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LA
Psychologist 103T00000X LA
Case Manager/Care Coordinator 171M00000X TX Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

9403 Mansfield Rd
Shreveport, LA 71118-3815

Mailing address

5611 Tall Pines Way
Shreveport, LA 71129-4604
Phone (318) 773-2945

Other practice location 1

1341 W Mockingbird Ln # 600
Dallas, TX 75247-6913
Phone (972) 777-4105

Other names 1

  • Dr. Lashon Anderson Professional name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1962101634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 TALL PINES WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711294604",
            "telephone_number": "318-773-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183815",
            "telephone_number": "318-861-8938",
            "fax_number": "318-862-3554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 W Mockingbird Ln # 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752476913",
            "country_code": "US",
            "telephone_number": "972-777-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LASHON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHON",
            "last_name": "ANDERSON",
            "prefix": "DR.",
            "credential": "PHD PSYCHOLOGY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 14, 2025; 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.