ARK-LA-TEX MENTAL HEALTH, LLC
NPI 1265327415
Nurse Practitioner in Shreveport, LA

Q: What is Ark-La-Tex Mental Health, LLC's NPI number?

The NPI number for Ark-La-Tex Mental Health, LLC is 1265327415. It was assigned to this organization in the NPPES registry on June 10, 2025.

Q: What is Ark-La-Tex Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 10, 2025

8660 FERN AVE STE 120, SHREVEPORT, LA 71105(318) 416-9649(318) 416-9646 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ark-la-tex Mental Health, Llc NPPES

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

ARK-LA-TEX MENTAL HEALTH, LLC (NPI 1265327415) is a healthcare organization registered as a nurse practitioner in Shreveport, Louisiana and active in the NPI registry since June 2025. The organization lists Shannon Mctire, Owner, as its authorized official.

NPPES Registry Identity

NPI1265327415

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameARK-LA-TEX MENTAL HEALTH, LLC

Location Address8660 FERN AVE STE 120Shreveport, LA 71105-5657

Mailing AddressPo Box 837Howe, TX 75459-0837 · (903) 487-2248 · Fax (903) 487-2306

Phone(318) 416-9649

Fax(318) 416-9646

Organization SubpartNo

Authorized OfficialShannon MctireOwner · (318) 416-9649

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1265327415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8660 FERN AVE STE 120, Shreveport, LA 71105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ark-la-tex Mental Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ark-La-Tex Mental Health, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Mctire, NP

Nurse Practitioner

NPI 1942438411

1500 LINE AVE SUITE 204
Shreveport, LA 71101

(318) 629-5001

✔ PECOS5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ark-La-Tex Mental Health, LLC's NPI number?

The NPI number for Ark-La-Tex Mental Health, LLC is 1265327415. It was assigned to this organization in the NPPES registry on June 10, 2025.

Where is Ark-La-Tex Mental Health, LLC located?

Ark-La-Tex Mental Health, LLC is located at 8660 Fern Ave Ste 120, Shreveport, LA 71105. The listed phone number is (318) 416-9649.

What is Ark-La-Tex Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ark-La-Tex Mental Health, LLC enrolled in Medicare?

Yes. Ark-La-Tex Mental Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ark-La-Tex Mental Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ark-La-Tex Mental Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ark-La-Tex Mental Health, LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.