Individual provider Active NPI

Kayetlyn Leeanne Hall, PLPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1962171322
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8595 Issued in LA
Practice address
543 Stoner Ave
Shreveport, LA 71101-4122
Phone
(318) 673-9901
NPI assigned
Sep 9, 2021
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8595 LA Primary

Addresses

Primary practice location

543 Stoner Ave
Shreveport, LA 71101-4122

Mailing address

5517 Asbury LN
Shreveport, LA 71129-2712
Phone (318) 510-8592

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://nppes.cms.hhs.gov/images/info.png

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

LicenseStateTypeSpecialty
8595LAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1962171322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 ASBURY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292712",
            "telephone_number": "318-510-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014122",
            "telephone_number": "318-673-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KAYETLYN",
        "middle_name": "LEEANNE",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nppes.cms.hhs.gov/images/info.png",
            "affiliation": "N",
            "address_1": "543 Stoner Ave",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711014122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 9, 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.