Active NPI
Shauna Matondo Layana Diawaku Onyebuchi, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1144007949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 81142
- Practice address
- 4011 Burnet Rd
Austin, TX 78756-3626 - Phone
- (817) 564-4610
- NPI assigned
- Sep 13, 2023
- Last updated
- Sep 13, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 81142 | TX | Primary |
Addresses
Primary practice location
4011 Burnet Rd
Austin, TX 78756-3626
Mailing address
4011 Burnet Rd
Austin, TX 78756-3626
Phone (817) 564-4610
Other names 1
- Shauna Matondo Layana Diawaku
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 29, 2024 through Apr 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81142 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1144007949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 BURNET RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563626",
"telephone_number": "817-564-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 BURNET RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563626",
"telephone_number": "817-564-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAWAKU ONYEBUCHI",
"first_name": "SHAUNA",
"middle_name": "MATONDO LAYANA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "81142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUNA",
"last_name": "DIAWAKU",
"middle_name": "MATONDO LAYANA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.