Active NPI
Shanaz Ikonne, PLLC
- Professional Counselor
- Lakeway, TX
National Provider Identifier
1093230823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73271
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryNPI 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.