Active NPI
Christi Shortes
- Professional Counselor
- Corsicana, TX
National Provider Identifier
1093316903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76060
- Practice address
- 5024 FM 304
Corsicana, TX 75109 - Phone
- (469) 285-3451
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76060 | TX | Primary |
Addresses
Primary practice location
5024 FM 304
Corsicana, TX 75109
Mailing address
609 S Files St
Itasca, TX 76055-3001
Phone (354) 707-0058
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Itasca | Direct | |
| Other URL | judy.offutt@pchas.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76060 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1093316903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S FILES ST",
"city": "ITASCA",
"state": "TX",
"postal_code": "760553001",
"telephone_number": "354-707-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 FM 304",
"city": "CORSICANA",
"state": "TX",
"postal_code": "75109",
"telephone_number": "469-285-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTES",
"first_name": "CHRISTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76060",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Itasca",
"affiliation": "N",
"endpointDescription": "Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5024 FM 304",
"city": "Corsicana",
"state": "TX",
"country_code": "US",
"postal_code": "75109",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "judy.offutt@pchas.org",
"affiliation": "N",
"address_1": "609 S Files St",
"city": "Itasca",
"state": "TX",
"country_code": "US",
"postal_code": "760553001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corsicana, TX
- Shepherd's Touch Ministries, Inc (Home Helpers/Direct Link)
- Constance Pugh Sheriff, OTR
- Thomas H Sheriff, PHD
- Ashruff James B Shihab, BC-HIS
- Tammy Eudora Shonuga, RPH
- Terri Jo Sikes, PTA
- Simply Medical Healthcare PLLC (Simply Medical HealthCare)
- Vicki Kaye Sims, BC-HIS, COHC
- Sarah Elizabeth Sisk, M.S CCC/SLP
- Angela Six, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.