Individual provider Active NPI

Letitia H Thomas, SUBSTANCE USE COUNSE

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
National Provider Identifier
1982376802
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5055 Issued in LA
Practice address
2000 Fairfield Ave
Shreveport, LA 71104-2002
Phone
(318) 222-8511
Fax
(318) 425-9670
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10101 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 5055 LA Primary

Addresses

Primary practice location

2000 Fairfield Ave
Shreveport, LA 71104-2002

Mailing address

PO Box 29644
Shreveport, LA 71149-9644

Other practice location 1

609 Redwater Road
Wake Village, TX 75501
Phone (903) 501-8032

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
5055LAMDAddiction (Substance Use Disorder) Counselor
10101TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Power Medical Solutions CurrentSince Oct 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1982376802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29644",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711499644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511",
            "fax_number": "318-425-9670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Redwater Road",
            "address_purpose": "LOCATION",
            "city": "Wake Village",
            "state": "TX",
            "postal_code": "75501",
            "country_code": "US",
            "telephone_number": "903-501-8032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LETITIA",
        "middle_name": "H",
        "credential": "SUBSTANCE USE COUNSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10101",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 9, 2023; 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.