Active NPI
Shana Markle, PH.D.
- Counseling Psychologist
- Logansport, IN
National Provider Identifier
1013375823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20042432A
- Practice address
- 800 Fulton St
Logansport, IN 46947-1577 - Phone
- (574) 722-5151
- Fax
- (574) 722-1791
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 20042432A | IN | Primary |
Addresses
Primary practice location
800 Fulton St
Logansport, IN 46947-1577
Mailing address
800 Fulton St
Logansport, IN 46947-1577
Phone (574) 722-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042432A | IN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Markle Professional Counseling, LLC | Counseling | Current | Accepting new patients |
| Four County Comprehensive Mental Health Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Indianapolis, IN
- NPI 1013505205
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Peru, IN
- NPI 1972545945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1013375823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FULTON ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471577",
"telephone_number": "574-722-5151",
"fax_number": "574-722-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 FULTON ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471577",
"telephone_number": "574-722-5151",
"fax_number": "574-722-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKLE",
"first_name": "SHANA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20042432A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.