Individual provider Active NPI

Shana Hisaw, LPC-S

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1104014539
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61770 Issued in TX
Practice address
15346 Tortuga CT
Corpus Christi, TX 78418-6947
Phone
(361) 833-1916
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61770 TX Primary

Addresses

Primary practice location

15346 Tortuga CT
Corpus Christi, TX 78418-6947

Mailing address

15346 Tortuga CT
Corpus Christi, TX 78418-6947
Phone (361) 833-1916

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Shanahisaw@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001621 TX Practitioner - Mental Health Counselor 3971776485 Practice locations: Corpus Christi, TX

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14646 Compass St
Suite 10
Corpus Christi, TX 78418-6231

15346 Tortuga CT
Corpus Christi, TX 78418-6947
Phone (361) 867-1059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61770TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1104014539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15346 TORTUGA CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186947",
            "telephone_number": "361-833-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15346 TORTUGA CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186947",
            "telephone_number": "361-833-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISAW",
        "first_name": "SHANA",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shanahisaw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15346 Tortuga Ct",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784186947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.