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MR. KENNETH ELGIN BEATTY
NPI 1902179336
Counselor - Mental Health in Shreveport, LA

Active since February 15, 2012
864 OLIVE ST, SHREVEPORT, LA 71104(318) 222-0759(318) 221-0216 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenneth Elgin Beatty NPPES

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

MR. KENNETH ELGIN BEATTY (NPI 1902179336) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1902179336
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH ELGIN BEATTY
Location Address864 OLIVE STShreveport, LA 71104-2159
Mailing Address6225 Dillingham AveShreveport, LA 71106-3303 · (318) 865-4967
Phone(318) 222-0759
Fax(318) 221-0216
Sole ProprietorNo
Enumeration DateFebruary 15, 2012
✔ NPI 1902179336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
864 OLIVE ST, Shreveport, LA 71104
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Other Providers at the Same Location NPPES 4

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

DR. RICHARD LEWIS PRICE PH.D.
Psychologist (Clinical)
864 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 670-8440
DR. KATIE N GARCIA PH.D., LMFT, LPC
Marriage & Family Therapist
864 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 222-0759
MR. CHRIS ALAN MICIOTTO MSW LCSW ACSW
Social Worker (Clinical)
864 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 222-0759
THE CENTER FOR FAMILIES, INC.
Counselor (Addiction (Substance Use Disorder))
864 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 222-0759

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 Kenneth Beatty's NPI number?

The NPI number for Kenneth Beatty is 1902179336. It was assigned to this individual provider in the NPPES registry on February 15, 2012.

Where is Kenneth Beatty located?

Kenneth Beatty practices at 864 Olive St, Shreveport, LA 71104. The listed phone number is (318) 222-0759.

What is Kenneth Beatty'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 Kenneth Beatty was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.