MARTIN JAMES DYKES (NPI# 1316293798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316293798 |
| Entity Type | Individual |
| Full Name | MARTIN JAMES DYKES |
| Credential | L.A.C. |
| Practice Address |
1513 Line Ave Shreveport LA 71101-4621 |
| Practice Telephone | 3187425146 |
| Mailing Telephone | 3187425146 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
736 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1513 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851688105 | Mind Rehabilitation and Resource Center, Inc | Community/Behavioral Health | 1513 Line Ave, Suite 338, Shreveport, LA 71101-4621 | 2011-07-07 |
| 1245839026 | Theresa Jordan | Case Manager/Care Coordinator | 1513 Line Ave, Suite 225, Shreveport, LA 71109 | 2020-10-22 |
| 1255803029 | Tamika Rhinehart | Case Manager/Care Coordinator | 1513 Line Ave, Suite 225, Shreveport, LA 71101 | 2018-12-18 |
| 1790255859 | Christopher Thompson | Case Manager/Care Coordinator | 1513 Line Ave, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1477070324 | J & J Impact Counseling, LLC | Community/Behavioral Health | 1513 Line Ave, Ste 222, Shreveport, LA 71101 | 2017-08-22 |
| 1851838155 | Laura Lynn Holland | Assisted Living Facility | 1513 Line Ave, Ste 250, Shreveport, LA 71101-4621 | 2017-01-24 |
| 1487190161 | Tiwana Thomas | Counselor | 1513 Line Ave, Suite 230, Shreveport, LA 71101-4621 | 2017-01-18 |
| 1174069652 | Fatonia Beaudion | Counselor | 1513 Line Ave, Suite 230, Shreveport, LA 71101-4621 | 2017-01-09 |
| 1811431869 | Mishuna Macdonald | Counselor | 1513 Line Ave, Suite 315, Shreveport, LA 71101-4621 | 2016-12-10 |
| 1881137966 | Shawnee Johnson | Counselor | 1513 Line Ave, 315, Shreveport, LA 71101-4621 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1518505601 | Samantha Klingenberg | Counselor | 910 Pierremont Rd Ste 300, Shreveport, LA 71106-2056 | 2019-12-19 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1396255980 | Christa Walker-williams | Counselor | 525 Crockett St, Shreveport, LA 71101-3601 | 2017-10-09 |
| 1174047856 | Gregory H Gentry | Counselor | 363 Sandefur Dr, Shreveport, LA 71105-3245 | 2017-08-03 |
| 1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
| 1760762470 | Jacqueline A. Danzell, Lcsw, LLC | Counselor | 910 Pierremont Rd Ste 410, Shreveport, LA 71106-2056 | 2011-08-25 |
| 1811291099 | Barbara Marie Allen | Counselor | 5100 Pine Hill Rd, Shreveport, LA 71107-2604 | 2011-01-03 |
| 1063609782 | Ross Githens | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2007-09-26 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MARTIN JAMES DYKES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.