GLENZETTA HALL
NPI 1265807325
Counselor - Professional in Shreveport, LA

Active since December 01, 2015PECOS Enrolled
7611 SAINT VINCENT AVE, SHREVEPORT, LA 71106(318) 868-4552 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2024, Dec 1, 2015 (2 updates tracked since 2015).

About Glenzetta Hall NPPES

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

GLENZETTA HALL (NPI 1265807325) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (6405) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bossier City.

NPPES Registry Identity

NPI1265807325
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGLENZETTA HALL
Location Address7611 SAINT VINCENT AVEShreveport, LA 71106-4231
Mailing AddressP.o. Box 29372Sh, LA 71149 · (318) 670-8898 · Fax (318) 300-3772
Sole ProprietorNo
Enumeration DateDecember 1, 2015
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1265807325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 6405
7611 SAINT VINCENT AVE, Shreveport, LA 71106

Secondary Practice Location 1

Location 12285 Benton RdBossier City, LA 71111-7933 · Phone (318) 584-7197

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenzetta Hall 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.

Medicare Billing Reassignment

Medicare enrollment records show Glenzetta Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
7611 SAINT VINCENT AVE
Shreveport, LA 71106
  • Reassigned Medicare billing, Louisiana enrollment
  • 70 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106
Nurse Practitioner (Family)
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106
Clinic/Center (Federally Qualified Health Center (FQHC))
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106

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 Glenzetta Hall's NPI number?

The NPI number for Glenzetta Hall is 1265807325. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Glenzetta Hall located?

Glenzetta Hall practices at 7611 Saint Vincent Ave, Shreveport, LA 71106. The listed phone number is (318) 868-4552.

What is Glenzetta Hall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Glenzetta Hall enrolled in Medicare?

Yes. Glenzetta Hall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenzetta Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenzetta Hall reassigns Medicare benefits to David Raines Community Health Center, Inc. (Shreveport, LA). The 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 Glenzetta Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenzetta Hall accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Glenzetta Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenzetta Hall was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.