IndividualActive
Fredrick Wilson
NPI 1609396233 · Mental Health Counselor · Shreveport, LA
Provider details
- NPI number
- 1609396233
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4601 N Market St
Shreveport, LA 71107-2971
Phone: (318) 424-8735
Fax: (318) 424-8739
Street-level locationGet directions
Mailing address
Po Box 5
Rodessa, LA 71069-0005
Registry dates
- Enumerated
- 2017-06-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.