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EDWIN JEFFERSON
NPI 1780197996
Counselor - Mental Health in Shreveport, LA

Active since November 09, 2017
1717 MARSHALL ST, SHREVEPORT, LA 71101(318) 226-9944 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin Jefferson NPPES

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

EDWIN JEFFERSON (NPI 1780197996) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1780197996
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDWIN JEFFERSON
Location Address1717 MARSHALL STShreveport, LA 71101-4139
Mailing Address6416 Joy DrShreveport, LA 71119-5110 · (318) 834-9629
Phone(318) 226-9944
Sole ProprietorYes
Enumeration DateNovember 9, 2017
✔ NPI 1780197996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1717 MARSHALL ST, Shreveport, LA 71101
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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

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.

LA'BREYAH OGBURN
Community/Behavioral Health
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9942
MEGHAN SYLVIA
Community/Behavioral Health
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9942
KRISTY LYNNE GARSEE
Counselor (Mental Health)
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 455-5898
MS. ALEATHA PALMER-GIBSON LOWE
Case Manager/Care Coordinator
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9944
KATHERINE WINZER
Counselor (Mental Health)
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9944
RACHEL ANN THOMPSON
Counselor (Mental Health)
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9944
SHANNON JAVON SMITH
Counselor (Mental Health)
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9944
MR. WOODROW M. EVANS
Counselor (Mental Health)
1717 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 226-9944

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 Edwin Jefferson's NPI number?

The NPI number for Edwin Jefferson is 1780197996. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Edwin Jefferson located?

Edwin Jefferson practices at 1717 Marshall St, Shreveport, LA 71101. The listed phone number is (318) 226-9944.

What is Edwin Jefferson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Edwin Jefferson was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.