Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse Fallis, LPC

Individual provider Mental Health Counselor · NPI 1538615067

Jesse Fallis, LPC is a Mental Health Counselor in Shreveport, Louisiana. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5655 N Lakeshore Dr
Shreveport, LA 71107-9382
Phone: (318) 218-2360
Fax: (650) 870-2727
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2285 Benton Rd, Bossier City, LA 71111 — (318) 415-8755

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7191 (LA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1538615067
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 25, 2016
Last updated in NPPESMay 13, 2023
Certification dateMay 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Shreveport