Shana R Mercer, M.ED., LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

70111 Issued in TX

Practice address

350 Pine St Ste 760
Beaumont, TX 77701-2421

Phone

(409) 223-1413

Fax

(409) 203-4002

NPI assigned

Jun 11, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Success, Inc

  • Mental Health Counselor
  • Beaumont, TX
  • NPI 1275472227
  NPD Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1104230739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE ST STE 760",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012421",
            "telephone_number": "409-223-1433",
            "fax_number": "409-203-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST STE 760",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012421",
            "telephone_number": "409-223-1413",
            "fax_number": "409-203-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "SHANA",
        "middle_name": "R",
        "credential": "M.ED., LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33853001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance T. Mendoza, C.R.N.A.
• Apryl Scott Mensah, M.D.
• Jason Osei Mensah, D.O.
• Mental Health Defense and Fitness, PLLC
• Maria Mercado
• Andrea Merizalde, MD
• Metropolitan Cardiology P a
• Metropolitanc Drive Medical Center
• Metx LLC
• Joel Thomas Meyer, M.A.

• Mental Health Counselor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.