Organization Active NPI

Shawn Boggs Counseling, PLLC

  • Marriage & Family Therapist
  • Grapevine, TX
National Provider Identifier
1063779239
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHAWN BOGGS COUNSELING, PLLC
Practice address
601 S Main St
Suite 212
Grapevine, TX 76051-5382
Phone
(817) 410-4772
Fax
(817) 410-4773
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mr. Shawn Dewayne Boggs, LMFT
Title
Owner & Operator
Phone
(817) 410-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

601 S Main St
Suite 212
Grapevine, TX 76051-5382

Mailing address

601 S Main St
Suite 212
Grapevine, TX 76051-5382
Phone (817) 410-4772

National Provider Directory

National Provider Directory

Locations

601 S Main St
Ste 212
Grapevine, TX 76051
Phone (817) 410-4772

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1063779239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE 212",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515382",
            "telephone_number": "817-410-4772",
            "fax_number": "817-410-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE 212",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515382",
            "telephone_number": "817-410-4772",
            "fax_number": "817-410-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN BOGGS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "817-410-4772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.