WK CENTER FOR PSYCHIATRIC SUPPORT
NPI 1609194356
Psychiatry & Neurology - Psychiatry in Shreveport, LA

Q: What is Wk Center For Psychiatric Support's NPI number?

The NPI number for Wk Center For Psychiatric Support is 1609194356. It was assigned to this organization in the NPPES registry on May 5, 2010.

Q: What is Wk Center For Psychiatric Support's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 05, 2010

1111 LINE AVE 3RD FLOOR TOWER 2, SHREVEPORT, LA 71101(318) 716-4610(318) 716-4690 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wk Center For Psychiatric Support NPPES

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

WK CENTER FOR PSYCHIATRIC SUPPORT (NPI 1609194356) is a healthcare organization registered as a psychiatry in Shreveport, Louisiana and active in the NPI registry since May 2010. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1609194356

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameWK CENTER FOR PSYCHIATRIC SUPPORT

Location Address1111 LINE AVE 3RD FLOOR TOWER 2Shreveport, LA 71101-3981

Mailing Address1111 Line Ave 3rd Floor Tower 2Shreveport, LA 71101-3981 · (318) 716-4610 · Fax (318) 716-4690

Phone(318) 716-4610

Fax(318) 716-4690

Organization SubpartNo

Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232

Enumeration DateMay 5, 2010

Last NPPES UpdateFebruary 17, 2017

✔ NPI 1609194356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1111 LINE AVE 3RD FLOOR TOWER 2, Shreveport, LA 71101

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Other Identifiers 1

Medicare PIN5DP83LA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Center For Psychiatric Support is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Wk Center For Psychiatric Support, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jason Broussard, D.O.

Psychiatry

NPI 1376744771

1111 LINE AVE FL 3
Shreveport, LA 71101

(318) 716-4610

✔ PECOS✔ Accepts MedicareSame address

Devanshi Jani, MD

Psychiatry

NPI 1770794083

1111 LINE AVE FL 3
Shreveport, LA 71101

(318) 716-4610

✔ PECOS✔ Accepts MedicareSame address

Anna Ezernack, NP

Nurse Practitioner

NPI 1033973391

1111 LINE AVE FL 3
Shreveport, LA 71101

(318) 716-4610

✔ PECOS✔ Accepts MedicareSame address

Matthew Menard, MD

Psychiatry

NPI 1407148992

1501 KINGS HWY
Shreveport, LA 71103

(318) 675-5053

✔ PECOS✔ Accepts Medicare1.7 mi

Claudia Orellana, M.D.

Psychiatry

NPI 1417167842

4440 VIKING DR STE 300
Bossier City, LA 71111

(318) 584-7137

✔ PECOS✔ Accepts Medicare5.1 mi

Chandra Walker-Target, PMHNP-BC

Nurse Practitioner

NPI 1871214064

3621 CRESTVIEW DR
Shreveport, LA 71119

(318) 751-2126

✔ PECOS✔ Accepts Medicare5.7 mi

Arien Ward, PSYD

Clinical Psychologist

NPI 1578702643

5401 SHED RD
Bossier City, LA 71111

(318) 741-5368

✔ PECOS✔ Accepts Medicare6.7 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 Wk Center For Psychiatric Support's NPI number?

The NPI number for Wk Center For Psychiatric Support is 1609194356. It was assigned to this organization in the NPPES registry on May 5, 2010.

Where is Wk Center For Psychiatric Support located?

Wk Center For Psychiatric Support is located at 1111 Line Ave 3rd Floor Tower 2, Shreveport, LA 71101. The listed phone number is (318) 716-4610.

What is Wk Center For Psychiatric Support's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Wk Center For Psychiatric Support enrolled in Medicare?

Yes. Wk Center For Psychiatric Support is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Center For Psychiatric Support?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Wk Center For Psychiatric Support. 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. The largest specialties are Psychiatry (4), Nurse Practitioner (2) and Clinical Psychologist (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Center For Psychiatric Support 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 1 other insurer list Wk Center For Psychiatric Support 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 Wk Center For Psychiatric Support was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.