Active NPI
Shilpa V. Patel, MA, LPCC
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1023174570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC00096
- Practice address
- 2318 Park Ave
Minneapolis, MN 55404-3712 - Phone
- (612) 377-5510
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00096 | MN | Primary |
Addresses
Primary practice location
2318 Park Ave
Minneapolis, MN 55404-3712
Mailing address
2318 Park Ave
Minneapolis, MN 55404-3712
Phone (612) 377-5510
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00096 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1023174570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043712",
"telephone_number": "612-377-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043712",
"telephone_number": "612-377-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHILPA",
"middle_name": "V.",
"name_prefix": "Mrs.",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC00096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.