COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION (NPI# 1134532062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134532062 |
| Entity Type | Organization |
| Organization Name | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
| Other Organization Name | CASSE/CHI BERT KOUNS SITE |
| Practice Address |
2120 Bert Kouns Industrial Loop Suite A Shreveport LA 71118-3351 |
| Practice Telephone | 3186883350 |
| Practice Fax Number | 3186883655 |
| Mailing Telephone | 3186883350 |
| Mailing Fax Number | 3186883655 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | MARY M CHUMLEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 3186883350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CASSE/CHI Bert Kouns Site | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| 1912428244 | Council for Advancement of Social Service and Education | Clinic/Center | 149 Stonecreek Dr., Stonewall, LA 71078-6100 | 2017-06-27 |
| 1104340686 | Council for Advancement of Social Service and Education | Clinic/Center | 149 Stonecreek Dr., Stonewall, LA 71078-4906 | 2017-07-27 |
| 1275053506 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Airline Dr, Bossier City, LA 71111-3106 | 2017-06-27 |
| 1508155649 | Council for Advancement of Social Service and Education | Dentist | 2120 Bert Kouns Industrial Loop, Suite E, Shreveport, LA 71118-3351 | 2011-03-29 |
| 1285942284 | Council for Advancement of Social Service and Education | Clinic/Center | 907 Polk St, Mansfield, LA 71052-2520 | 2010-09-24 |
| 1447337787 | Council for Advancement of Social Service and Education | Psychologist | 2120 Bert Kouns Industrial Loop, Ste. E, Shreveport, LA 71118-3351 | 2006-11-01 |
| Street Address |
2120 BERT KOUNS INDUSTRIAL LOOP SUITE A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340552 | Thomas Edward Kinstrey | Family Medicine | 2120 Bert Kouns Industrial Loop, Suite M, Shreveport, LA 71118-3351 | 2006-03-14 |
| 1679914154 | Melissa Hanish | Nurse Practitioner | 2120 Bert Kouns Industrial Loop, Suite F, Shreveport, LA 71118-3351 | 2013-07-11 |
| 1932480365 | Angela S Martin | Nurse Practitioner | 2120 Bert Kouns Industrial Loop, Suite L, Shreveport, LA 71118-3375 | 2011-08-30 |
| 1508155649 | Council for Advancement of Social Service and Education | Dentist | 2120 Bert Kouns Industrial Loop, Suite E, Shreveport, LA 71118-3351 | 2011-03-29 |
| 1952606279 | Kirit S Patel Md Apmc | Internal Medicine | 2120 Bert Kouns Industrial Loop, Suite F, Shreveport, LA 71118-3351 | 2011-01-18 |
| 1538350046 | Thomas E. Kinstrey A Medical Corporation | Clinic/Center | 2120 Bert Kouns Industrial Loop, Suite M, Shreveport, LA 71118-3351 | 2007-08-08 |
| 1417015439 | Leonard Weather Jr. | Obstetrics & Gynecology | 2120 Bert Kouns Industrial Loop, Suite C, Shreveport, LA 71118-3351 | 2006-12-04 |
| 1447337787 | Council for Advancement of Social Service and Education | Psychologist | 2120 Bert Kouns Industrial Loop, Ste. E, Shreveport, LA 71118-3351 | 2006-11-01 |
| 1174600225 | Edward Gary Chumley | Dentist | 2120 Bert Kouns Industrial Loop, Ste. E, Shreveport, LA 71118-3351 | 2006-11-01 |
| 1386758936 | Paul M. Clark Jr. | Dentist | 2120 Bert Kouns Industrial Loop, Suite D, Shreveport, LA 71118-3351 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| 1760042394 | David Raines Community Health Center, Inc. | Clinic/Center | 4331 Henry St, Shreveport, LA 71109-6820 | 2019-06-17 |
| 1215933254 | David Raines Community Health Center, Inc | Clinic/Center | 3041 Dr Martin Luther King Dr, Shreveport, LA 71107-4705 | 2005-06-23 |
| 1144705930 | David Raines Community Health Center Inc | Clinic/Center | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2018-09-27 |
| 1487178315 | David Raines Community Health Center, Inc. | Clinic/Center | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2017-08-02 |
| 1760906630 | David Raines Community Health Center | Clinic/Center | 7340 Wyngate Blvd, Shreveport, LA 71106-3920 | 2017-08-01 |
| 1437673464 | David Raines Community Health Center, Inc. | Clinic/Center | 351 Hearne Ave, Shreveport, LA 71103-2019 | 2017-08-01 |
| 1760904981 | David Raines Community Health Center, Inc. | Clinic/Center | 401 W 70th St, Shreveport, LA 71106-3034 | 2017-07-10 |
| 1104249473 | David Raines Community Health Center, Inc. | Clinic/Center | 3021 W 70th St, Shreveport, LA 71108-4603 | 2014-01-22 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.