1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Counselor
  6. NPI Profile

TRACY JEROME ANDERSON
NPI 1962914424
Counselor - Mental Health in Shreveport, LA

Active since October 24, 2017
543 STONER AVE, SHREVEPORT, LA 71101(318) 673-9901(318) 673-9904 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Jerome Anderson NPPES

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

TRACY JEROME ANDERSON (NPI 1962914424) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1962914424
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY JEROME ANDERSON
Location Address543 STONER AVEShreveport, LA 71101-4122
Mailing Address8526 Elmview PlShreveport, LA 71108-5704 · (318) 519-4551
Phone(318) 673-9901
Fax(318) 673-9904
Sole ProprietorYes
Enumeration DateOctober 24, 2017
✔ NPI 1962914424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
543 STONER AVE, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 1

Medicaid1147664LA

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.

ANGEL ALLYSON ADAMS BURRELL
Case Manager/Care Coordinator
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
ASHLEY MICHELLE TERRY MHP
Counselor
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
KENISHA BOYD
Counselor (Mental Health)
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
TAYLOR SHUNTA COLEMAN-SAVANNAH
Case Manager/Care Coordinator
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
MICHAEL K'VON RIDGELL
Case Manager/Care Coordinator
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
MISS DESTEANNA NEJA MORROW
Case Manager/Care Coordinator
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
VICTORIA JOHNSON
Counselor (Professional)
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901
COLBELITA THOMAS
Counselor
543 STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 673-9901

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 Tracy Anderson's NPI number?

The NPI number for Tracy Anderson is 1962914424. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Tracy Anderson located?

Tracy Anderson practices at 543 Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 673-9901.

What is Tracy Anderson'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 Tracy Anderson was last updated on October 24, 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.