SHAVESHA LALETTE JOHNSON (NPI# 1780030890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780030890 |
| Entity Type | Individual |
| Full Name | SHAVESHA LALETTE JOHNSON |
| Credential | MHS |
| Practice Address |
1717 Marshall St Shreveport LA 71101-4139 |
| Mailing Address |
400 John Wesley Blvd Apt 38 Bossier City LA 71112-2299 |
| Practice Telephone | 3182269942 |
| Practice Fax Number | 3182269944 |
| Mailing Telephone | 3185603093 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1717 MARSHALL ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821391327 | Family Services Unlimited | Community/Behavioral Health | 1717 Marshall St, Shreveport, LA 71101-4139 | 2010-12-06 |
| 1417430513 | Cassee Rashell Davis | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2018-09-13 |
| 1477036390 | Family Services Unlimited | Community/Behavioral Health | 1717 Marshall St, Shreveport, LA 71101-4139 | 2018-09-07 |
| 1386121101 | Ariante Vanae Wallace | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2018-07-24 |
| 1548759079 | Jessica Kador | Social Worker | 1717 Marshall St, Shreveport, LA 71101-4139 | 2018-05-10 |
| 1780171314 | Trena Little | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2018-04-19 |
| 1568978401 | A'paulo White | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2017-12-14 |
| 1528573961 | Bridgette Denise Salsberry | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2017-12-07 |
| 1275048837 | Mary Ann Hoof | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2017-12-05 |
| 1497269518 | Katina Lindsey | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2017-11-28 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926113 | Renew Therapeutic Services, LLC | Community/Behavioral Health | 2924 Knight St Ste 424, Shreveport, LA 71105-2413 | 2019-05-08 |
| 1053818641 | Agape Love Counseling Service LLC | Community/Behavioral Health | 1513 Line Ave Ste 240, Shreveport, LA 71101-4621 | 2018-04-10 |
| 1851891865 | Magnolia Mental Health LLC | Community/Behavioral Health | 7629 Pines Rd, Shreveport, LA 71129-3905 | 2018-02-15 |
| 1891202776 | Allcare of Louisiana, Inc. | Community/Behavioral Health | 4615 Monkhouse Dr Ste 116, Shreveport, LA 71109-6123 | 2018-01-02 |
| 1467979708 | Finding A Better Me | Community/Behavioral Health | 2924 Knight St Ste 420, Shreveport, LA 71105-2413 | 2017-08-28 |
| 1518495779 | Bridges To Recovery, LLC | Community/Behavioral Health | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2017-05-31 |
| 1790210805 | Acenter for Hope and Change | Community/Behavioral Health | 6811 Sagewood Dr, Shreveport, LA 71129-9423 | 2017-04-26 |
| 1497289979 | Serenity Behavioral Health Service LLC | Community/Behavioral Health | 2000 Creswell Ave, Shreveport, LA 71104-2202 | 2017-04-12 |
| 1699212696 | Shenells | Community/Behavioral Health | 2120 N Hearne Ave Apt 403, Shreveport, LA 71107-7183 | 2017-01-27 |
| 1669918199 | Street Outreach Solutions,llc | Community/Behavioral Health | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-01-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on SHAVESHA LALETTE JOHNSON.
| 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.