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JODY LOWERY WALDO CIT
NPI 1043873631
Counselor - Addiction (Substance Use Disorder) in Shreveport, LA

Active since April 18, 2019PECOS Enrolled
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104(318) 222-8511(318) 222-3273 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jody Lowery Waldo Cit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY LOWERY WALDO CIT (NPI 1043873631) is an individual addiction (substance use disorder) provider in Shreveport, Louisiana, licensed in Louisiana (4237) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043873631
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJODY LOWERY WALDOCredential: CIT
Location Address2000 FAIRFIELD AVEShreveport, LA 71104-2099
Mailing Address2000 Fairfield AveShreveport, LA 71104-2099 · (318) 222-8511 · Fax (318) 222-3273
Phone(318) 222-8511
Fax(318) 222-3273
Sole ProprietorNo
Enumeration DateApril 18, 2019
✔ NPI 1043873631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · 4237
2000 FAIRFIELD AVE, Shreveport, LA 71104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody Lowery Waldo Cit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY HEITH LEWIS
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
THERESA JORDAN
Counselor
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 734-8232
LUCILLE B HAYWARD LPC, LAC
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
JACQULINE WEBB CIT
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
MS. KIMBERLY SUE POWELL LPC
Counselor (Professional)
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
CLAIRE CONERLY MADDEN CIT
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
MR. ELLIOT JXAVIER LEWIS RAC
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 226-2890
KENNA J LATIOLAIS LAC
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Waldo's NPI number?

The NPI number for Jody Waldo is 1043873631. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Jody Waldo located?

Jody Waldo practices at 2000 Fairfield Ave, Shreveport, LA 71104. The listed phone number is (318) 222-8511.

What is Jody Waldo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jody Waldo enrolled in Medicare?

Yes. Jody Waldo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jody Waldo was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.