Active NPI
Shannon Jasso
- Counselor
- Las Cruces, NM
National Provider Identifier
1043058787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1780 E University Ave
Las Cruces, NM 88003-1229 - Phone
- (575) 646-0111
- NPI assigned
- Jul 17, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1780 E University Ave
Las Cruces, NM 88003-1229
Mailing address
12516 Robert David Dr
El Paso, TX 79928-1756
Phone (915) 588-9233
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1043058787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12516 ROBERT DAVID DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799281756",
"telephone_number": "915-588-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 E UNIVERSITY AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880031229",
"telephone_number": "575-646-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASSO",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.