TERRIS MIKE
NPI 1205200557
Case Manager/Care Coordinator in Shreveport, LA

Active since November 24, 2015
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103(318) 779-0434 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2019, Nov 24, 2015 (2 updates tracked since 2015).

About Terris Mike NPPES

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

TERRIS MIKE (NPI 1205200557) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1205200557
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTERRIS MIKE
Location Address2219 CLAIBORNE AVEShreveport, LA 71103-4301
Mailing Address2924 Knight St, #434Shreveport, LA 71105-2415 · (318) 631-1122
Sole ProprietorNo
Enumeration DateNovember 24, 2015
Last NPPES UpdateMay 29, 20192 updates tracked since enumeration
NPI 1205200557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedSocial WorkerTaxonomy 104100000X
2219 CLAIBORNE AVE, Shreveport, LA 71103

Other Identifiers 1

Medicaid1939846LA

Other Providers at the Same Location NPPES 20

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

Social Worker
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Case Manager/Care Coordinator
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Case Manager/Care Coordinator
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Social Worker
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Clinic/Center (Mental Health (Including Community Mental Health Center))
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Social Worker
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Behavior Analyst
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Case Manager/Care Coordinator
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103

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 Terris Mike's NPI number?

The NPI number for Terris Mike is 1205200557. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Terris Mike located?

Terris Mike practices at 2219 Claiborne Ave, Shreveport, LA 71103. The listed phone number is (318) 779-0434.

What is Terris Mike's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Terris Mike was last updated on May 29, 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.