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KRYSTAL PEA
NPI 1790158400
Counselor - Professional in Shreveport, LA

Active since November 03, 2015
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103(318) 779-0434(318) 210-0000 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2019, Jul 31, 2018 (2 updates tracked since 2018).

About Krystal Pea NPPES

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

KRYSTAL PEA (NPI 1790158400) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (5809) and active in the NPI registry since November 2015. She maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1790158400
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRYSTAL PEA
Location Address2219 CLAIBORNE AVEShreveport, LA 71103-4301
Mailing Address4023 Esplanade AveShreveport, LA 71109-5036 · (318) 572-7418
Phone(318) 779-0434
Fax(318) 210-0000
Sole ProprietorYes
Enumeration DateNovember 3, 2015
Last NPPES UpdateMay 13, 20192 updates tracked since enumeration
✔ NPI 1790158400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 5809
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2219 CLAIBORNE AVE, Shreveport, LA 71103
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Secondary Practice Location 1

Location 14023 Esplanade AveShreveport, LA 71109 · Phone (318) 572-7418

Accepted Insurance

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

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.

DANNAE WHITE CSW
Social Worker
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434
MRS. EARLINE MAYS CLARK BSW
Case Manager/Care Coordinator
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434
HARMONY SMITH
Case Manager/Care Coordinator
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434
DR. TOMIKA D. HARDY MSW, LMSW, TH.D, CIT
Social Worker
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434
SOCIAL WORK PROFESSIONAL SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 464-8113
IDA NATASHA HENDERSON
Social Worker
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434
ANTONIO SIMS SR. MS
Behavior Analyst
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434
TERRIS MIKE
Case Manager/Care Coordinator
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 779-0434

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 Krystal Pea's NPI number?

The NPI number for Krystal Pea is 1790158400. It was assigned to this individual provider in the NPPES registry on November 3, 2015.

Where is Krystal Pea located?

Krystal Pea practices at 2219 Claiborne Ave, Shreveport, LA 71103. The listed phone number is (318) 779-0434.

What is Krystal Pea's specialty?

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

What insurance does Krystal Pea accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Krystal Pea 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 Krystal Pea was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.