MR. ALTON MCKNIGHT (NPI# 1710918669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710918669 |
| Entity Type | Individual |
| Full Name | MR. ALTON MCKNIGHT |
| Credential | LPC |
| Practice Address |
2520 Line Ave Shreveport LA 71104-3022 |
| Practice Telephone | 3182226226 |
| Practice Fax Number | 3182218526 |
| Mailing Telephone | 3182226226 |
| Mailing Fax Number | 3182218526 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
156 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS OF LA | B0307 | 01 |
| HUMANA MILITARY | 721232650001 | 01 |
| Street Address |
2520 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114334018 | Michelle Byrd | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2014-07-13 |
| 1659614295 | Alex Vega | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2013-04-02 |
| 1972811529 | Michelle L Long | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2010-09-16 |
| 1447499603 | Danette Moore | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2009-02-11 |
| 1699898874 | Charles Timothy Wilcox | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2007-04-10 |
| 1144342049 | Andy Sibley | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2007-04-04 |
| 1376678045 | Gary E. Milford | Psychologist | 2520 Line Ave, Shreveport, LA 71104-3022 | 2007-02-22 |
| 1841367059 | April Barnhill Schnebelen | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2006-11-30 |
| 1770687287 | Glenda L Pritchett | Counselor | 2520 Line Ave, Shreveport, LA 71104 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359379 | Donna L Brooks | Counselor | 4111 Metro Dr Ste B, Shreveport, LA 71109-6001 | 2019-01-07 |
| 1114428091 | Keiah Ellis | Counselor | 7832 Oak Creek Trl, Shreveport, LA 71129-8811 | 2018-02-26 |
| 1851678411 | Lois M White | Counselor | 3937 Pines Rd., Suite H, Shreveport, LA 71119-7301 | 2011-11-10 |
| 1245517994 | Leslie E. Bartley | Counselor | 3937 Pines Rd, Suite H, Shreveport, LA 71119-7301 | 2011-11-09 |
| 1972797843 | Albert James Dyer I | Counselor | 1226 Georgia St, Shreveport, LA 71104-4008 | 2007-09-04 |
| 1548367014 | Matthew Joseph Tisby | Counselor | 2437 Roy Rd, Shreveport, LA 71107 | 2006-09-19 |
| 1124591706 | Eunice Wilkerson | Counselor | 4111 Metro Dr Ste B, Shreveport, LA 71109-6001 | 2019-01-07 |
| 1568940161 | Brianna London Duron | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2018-08-06 |
| 1962859132 | Tracy Lamont Johnson | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2016-05-18 |
| 1801906185 | Larry Edward Stier | Counselor | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on MR. ALTON MCKNIGHT.
| 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.