Individual provider Active NPI

Mary Katherine Arcement, LPC

  • Mental Health Counselor
  • Shreveport, LA
National Provider Identifier
1992850382
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2949 Issued in LA
Practice address
7330 Fern Ave
Suite #602
Shreveport, LA 71105-4971
Phone
(318) 629-0152
Fax
(318) 629-0157
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2949 LA Primary

Addresses

Primary practice location

7330 Fern Ave
Suite #602
Shreveport, LA 71105-4971

Mailing address

7330 Fern Ave
#602
Shreveport, LA 71105-4971
Phone (318) 629-0152

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
2949LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1992850382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE",
            "address_2": "#602",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054971",
            "telephone_number": "318-629-0152",
            "fax_number": "318-629-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE",
            "address_2": "SUITE #602",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054971",
            "telephone_number": "318-629-0152",
            "fax_number": "318-629-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEMENT",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2949",
            "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 Jun 29, 2009; 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.