Shannon M Mekuly LPC Atr P.C

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SHANNON M MEKULY LPC ATR P.C

Practice address

2511 E 6TH St Ste B
Austin, TX 78702-0047

Phone

(512) 779-4179

NPI assigned

Oct 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon MekulyNPI 1679918148

Title

Owner

Phone

(512) 779-4179

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon M Mekuly, ATR, LPC

  • Professional Counselor
  • Austin, TX
  • NPI 1679918148
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1013484922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BERKSHIRE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231839",
            "telephone_number": "512-779-4179",
            "fax_number": "512-541-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 E 6TH ST STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787020047",
            "telephone_number": "512-779-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON M MEKULY LPC ATR P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "MEKULY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-779-4179"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336471-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Shankle
• Andrew Christopher Shanks, LCDC
• Laranci Shanmugarajah
• George Mark Shannan
• George Martin Shannan, D.C.
• Shannon S Wellness LLC
• Shannon Stern Therapy PLLC
• Allison Shannon, RD, MPH
• Anthony Shannon
• Donna Shanor, LCSW

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.