Individual provider Active NPI

Sara Shurbet, LPC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1972084077
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8970 Issued in LA
Practice address
400 Texas St Ste 950
Shreveport, LA 71101-3538
Phone
(318) 573-3771
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37638 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 5010 LA
Mental Health Counselor 101YM0800X 8970 LA Primary

Addresses

Primary practice location

400 Texas St Ste 950
Shreveport, LA 71101-3538

Mailing address

400 Texas St Ste 950
Shreveport, LA 71101-3538
Phone (318) 573-3771

Other practice location 1

3825 Gilbert Dr Unit 111
Shreveport, LA 71104-5000
Phone (318) 220-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031001233 LA Practitioner - Mental Health Counselor 2567995384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5010LAMDAddiction (Substance Use Disorder) Counselor
37638TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mesloh Counseling Center, LLC Mental Health CurrentSince Oct 16, 2024 Accepting new patients
Healing Minds LLC Addiction (Substance Use Disorder) Past Accepting new patients
Alcohol & Drug Abuse Council for the Concho Valley Past Accepting new patients
Alcohol and Drug Abuse Council for the Concho Valley Past Accepting new patients

Locations

400 Texas St
Ste 950
Shreveport, LA 71101
Phone (318) 573-3771

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1972084077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TEXAS ST STE 950",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013538",
            "telephone_number": "318-573-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TEXAS ST STE 950",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013538",
            "telephone_number": "318-573-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 Gilbert Dr Unit 111",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711045000",
            "country_code": "US",
            "telephone_number": "318-220-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURBET",
        "first_name": "SARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "37638",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5010",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.