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MS. LA SHONDA NICOLE KENNERSON
NPI 1538697644
Counselor - Professional in Lake Charles, LA

Active since June 02, 2017PECOS Enrolled
4105 KIRKMAN ST, LAKE CHARLES, LA 70607(337) 475-3100(337) 475-3105 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2025, Nov 6, 2025, Jun 2, 2017 (3 updates tracked since 2017).

About Ms. La Shonda Nicole Kennerson NPPES

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

MS. LA SHONDA NICOLE KENNERSON (NPI 1538697644) is an individual professional provider in Lake Charles, Louisiana, licensed in Louisiana (8597) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538697644
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LA SHONDA NICOLE KENNERSON
Location Address4105 KIRKMAN STLake Charles, LA 70607-4603
Mailing Address4105 Kirkman StLake Charles, LA 70607-4603 · (337) 475-3100 · Fax (337) 475-3105
Phone(337) 475-3100
Fax(337) 475-3105
Sole ProprietorNo
Enumeration DateJune 2, 2017
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1538697644 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 · 8597
4105 KIRKMAN ST, Lake Charles, LA 70607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. La Shonda Nicole Kennerson 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 Reassignments

2

Medicare enrollment records show La Shonda Kennerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Imperial Calcasieu Human Services Authority
Same address
Mental Health (Including Community Mental Health Center)
4105 KIRKMAN ST
Lake Charles, LA 70607
  • Reassigned Medicare billing, Louisiana enrollment
  • 34 clinicians in this Medicare group
NPI 1952449118 (337) 475-8022
Delta Health Services LLC
7.0 mi
Mental Health
708 JANICE DR
Sulphur, LA 70663
  • Reassigned Medicare billing, Louisiana enrollment
  • 17 clinicians in this Medicare group
NPI 1871193649 (337) 476-9599

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 20

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

DEANNA TURNER CAC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
TANYA JANUARY RN
Registered Nurse
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
C. ELISKA WAGNON
Counselor (Mental Health)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
MRS. AMY ROSE FELICE RAC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
CAROLYN ANN DAVIS LPC, NCC, CCDP-D
Counselor (Professional)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
DIANE GAIL FRUGE RAC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-2088
MR. JEROME HOLLAND G.S.W.
Social Worker (Clinical)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
MR. MARK SHANE ANDERSON RAC, CCDP, CCGC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8738

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 La Shonda Kennerson's NPI number?

The NPI number for La Shonda Kennerson is 1538697644. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is La Shonda Kennerson located?

La Shonda Kennerson practices at 4105 Kirkman St, Lake Charles, LA 70607. The listed phone number is (337) 475-3100.

What is La Shonda Kennerson's specialty?

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

Is La Shonda Kennerson enrolled in Medicare?

Yes. La Shonda Kennerson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for La Shonda Kennerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), La Shonda Kennerson reassigns Medicare benefits to 2 organizations: Imperial Calcasieu Human Services Authority (Lake Charles, LA) and Delta Health Services LLC (Sulphur, LA). Each 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 La Shonda Kennerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does La Shonda Kennerson accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list La Shonda Kennerson 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 La Shonda Kennerson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.