Individual provider Active NPI

Shari Marie Elliott, LPC

  • Mental Health Counselor
  • Plano, TX
National Provider Identifier
1023376340
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88995 Issued in TX
Practice address
2222 W Spring Creek Pkwy Ste 116
Plano, TX 75023-4508
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88995 TX Primary

Addresses

Primary practice location

2222 W Spring Creek Pkwy Ste 116
Plano, TX 75023-4508

Mailing address

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989
Phone (844) 824-8775

Other practice location 1

2455 E Parleys Way Ste 205
Salt Lake City, UT 84109-1241
Phone (801) 206-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205001463 TX Practitioner - Mental Health Counselor 1052754231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

777 International Pkwy
Flower Mound, TX 75022-5301
Phone (972) 221-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88995TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Texas, PLLC CurrentSince Apr 1, 2024 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Sep 1, 2025 Accepting new patients
Blue Clover Therapy Mental Health PastSince Apr 1, 2022 Accepting new patients
Charles L Diviney III MC LPC NCC LLC Past Accepting new patients
James Mason Centers for Recovery PastSince Mar 1, 2020 Accepting new patients

Locations

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

777 International Pkwy
Ste 260
Flower Mound, TX 75022
Phone (214) 310-0508

777 International Pkwy
Flower Mound, TX 75022

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: shari.elliott.1@25899.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1023376340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W SPRING CREEK PKWY STE 116",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234508",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 E Parleys Way Ste 205",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841091241",
            "country_code": "US",
            "telephone_number": "801-206-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SHARI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.