Organization Active NPI

Shanaz Ikonne, PLLC

  • Professional Counselor
  • Lakeway, TX
National Provider Identifier
1093230823
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73271 Issued in TX
Legal business name
SHANAZ IKONNE, PLLC
Practice address
1021 Ranch Road 620 S Ste B
Lakeway, TX 78734-5611
Phone
(469) 626-9085
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Shanaz Sara Ikonne, MA
Title
Owner
Phone
(469) 626-9085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 73271 TX Primary

Addresses

Primary practice location

1021 Ranch Road 620 S Ste B
Lakeway, TX 78734-5611

Mailing address

7500 S Ih 35 Unit 523
Austin, TX 78745-6626
Phone (469) 626-9085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1093230823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 S IH 35 UNIT 523",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456626",
            "telephone_number": "469-626-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 RANCH ROAD 620 S STE B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345611",
            "telephone_number": "469-626-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANAZ IKONNE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "IKONNE",
        "authorized_official_first_name": "SHANAZ",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-626-9085",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.