Shannon Caraway

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7126 Issued in LA

Practice address

917 General Mouton Ave
Lafayette, LA 70501-8511

Phone

(337) 232-9457

Fax

(337) 232-9459

NPI assigned

Sep 24, 2014

Last updated

Jan 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1083016810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 GENERAL MOUTON AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018511",
            "telephone_number": "337-232-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 GENERAL MOUTON AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018511",
            "telephone_number": "337-232-9457",
            "fax_number": "337-232-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Capdeville
• Tiffany Capps, LPC
• Capturing Hearts LLC
• Cristian Jose Leopoldo Caraballo Rodriguez
• Tiphanie Carattini, LMT
• Andrew T Carbajal, MD
• Glen Paul Carbo, FNP
• Kylie Renee Carbo, D.P.T.
• Francis J Cardinale, MD
• Mario L. Cardinale, MD

• Professional Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.