Individual provider Active NPI

Shaun Essie Mason, B.S , M.ED, LPC

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1134936677
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014245 Issued in VA
Practice address
181 Old Bridge Rd
Newport News, VA 23608-5049
Phone
(757) 277-5377
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 0701014245 VA Primary

Addresses

Primary practice location

181 Old Bridge Rd
Newport News, VA 23608-5049

Mailing address

181 Old Bridge Rd
Newport News, VA 23608-5049
Phone (757) 277-5377

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
Bachelor of Science, Master of Education

State licenses

LicenseStateTypeSpecialty
0701014245VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1134936677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 OLD BRIDGE RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236085049",
            "telephone_number": "757-277-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD BRIDGE RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236085049",
            "telephone_number": "757-277-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SHAUN",
        "middle_name": "ESSIE",
        "name_prefix": "Mr.",
        "credential": "B.S , M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.