Active NPI
Souad G Shrime, M.S., LPC
- Counselor
- Dallas, TX
National Provider Identifier
1134488018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 16647
- Practice address
- 6306 Kenwood Ave
Dallas, TX 75214 - Phone
- (214) 502-8678
- Fax
- (214) 821-5395
- NPI assigned
- May 11, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 16647 | TX | Primary |
Addresses
Primary practice location
6306 Kenwood Ave
Dallas, TX 75214
Mailing address
9611 Milltrail Dr.
Dallas, TX 75238
Phone (214) 502-8678
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16647 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Counseling Services | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Dallas, TX
- NPI 1144583071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1134488018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9611 MILLTRAIL DR.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75238",
"telephone_number": "214-502-8678",
"fax_number": "214-821-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6306 KENWOOD AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75214",
"telephone_number": "214-502-8678",
"fax_number": "214-821-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIME",
"first_name": "SOUAD",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "16647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.