Active NPI
Shea Easterwood
- Mental Health Counselor
- Plano, TX
National Provider Identifier
1134423254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 65275
- Practice address
- 3920 Alma Dr.
Plano, TX 75023 - Phone
- (972) 422-5939
- Fax
- (972) 509-0923
- NPI assigned
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 65275 | TX | Primary |
Addresses
Primary practice location
3920 Alma Dr.
Plano, TX 75023
Mailing address
PO Box 828
McKinney, TX 75070
Phone (972) 562-0190
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 |
|---|---|---|---|
| 65275 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1134423254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75070",
"telephone_number": "972-562-0190",
"fax_number": "972-562-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 ALMA DR.",
"city": "PLANO",
"state": "TX",
"postal_code": "75023",
"telephone_number": "972-422-5939",
"fax_number": "972-509-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERWOOD",
"first_name": "SHEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "65275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.