Individual provider Active NPI

Stephanie Shaull, MSW

  • Counselor
  • Dallas, TX
National Provider Identifier
1073365748
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
18383 Preston Rd Ste 404
Dallas, TX 75252-5476
Phone
(916) 952-1433
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

18383 Preston Rd Ste 404
Dallas, TX 75252-5476

Mailing address

18383 Preston Rd Ste 404
Dallas, TX 75252-5476
Phone (916) 952-1433

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

Practice roles

OrganizationSpecialtyStatusNew patients
Helen'S Project Single Specialty CurrentSince Apr 9, 2024 Accepting new patients

Locations

18383 Preston Rd
Ste 404
Dallas, TX 75252
Phone (210) 560-7889

Organizations & group practices 1

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1073365748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18383 PRESTON RD STE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525476",
            "telephone_number": "916-952-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18383 PRESTON RD STE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525476",
            "telephone_number": "916-952-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAULL",
        "first_name": "STEPHANIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.