Active NPI 1083503262 Individual Practitioner Male Practitioner

Jack Clary Murrell

Counselor - Professional • Shreveport, LA

Professional Overview & Biography Verified Profile Summary

Jack Murrell is a registered healthcare professional specializing in Counselor - Professional in Shreveport, LA. Practice services are available at 9403 MANSFIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9403 Mansfield Rd

Shreveport, LA 711183815

Telephone 3188618938

Associated Practice Facility / Clinic

🏢 Pelican Bayou Counseling Agency Inc. Facility NPI 1760852511

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Shreveport, LA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.0 Yrs

State Avg: 14.7 Yrs

Regional Practice Density

302 Specialists

Practicing in Shreveport, LA (2984 Statewide)

Telehealth Adoption Rate

1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-01

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License LA PLC10766

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kristy Jones

Case Manager/Care Coordinator

NPI 1003323460

Cliffton Boykin

Counselor - Mental Health

NPI 1013362904

Jessica Boyd

Case Manager/Care Coordinator

NPI 1013369172

Adrianna Loyd

Case Manager/Care Coordinator

NPI 1013547710

Arniesha Keener

Case Manager/Care Coordinator

NPI 1013556455

Khala Scott , MSW

Case Manager/Care Coordinator

NPI 1013632223

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 01, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2025

Registered at 9403 MANSFIELD RD, SHREVEPORT, LA 711183815 (Tel: 3188618938)

📍

Updated Business Mailing Address July 01, 2025

Registered at 9403 MANSFIELD RD, SHREVEPORT, LA 711183815

👤

Provider Name / Credentials Updated July 01, 2025

Recorded as JACK MURRELL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Counselor (License #PLC10766 in LA)

🟢

Initial NPI Registration & Enumeration July 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083503262

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2025

Last Update: July 01, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9403 Mansfield Rd

Shreveport, LA 711183815

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.