Individual provider Active NPI

Shana Trahan, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1114489648
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77990 Issued in TX
Practice address
16019 Ridgegreen Dr
Houston, TX 77082-1336
Phone
(832) 295-3669
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 77990 TX Primary

Addresses

Primary practice location

16019 Ridgegreen Dr
Houston, TX 77082-1336

Mailing address

16019 Ridgegreen Dr
Houston, TX 77082-1336
Phone (832) 844-3375

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HOUSTON Other

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
I20240206000173 TX Practitioner - Mental Health Counselor 7416390646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77990TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Shaykobi Kids LLC Professional CurrentSince Nov 28, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shanatrahan@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1114489648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16019 RIDGEGREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821336",
            "telephone_number": "832-844-3375",
            "fax_number": "832-610-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16019 RIDGEGREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821336",
            "telephone_number": "832-295-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "SHANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "8326103022",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "16019 Ridgegreen Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770821336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.