Active NPI
Stacey M Shafenberg, LPA
- Mental Health Counselor
- Plano, TX
National Provider Identifier
1174835243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 33975
- Practice address
- 2415 Coit Rd Ste B
Plano, TX 75075-3758 - Phone
- (972) 596-7229
- Fax
- (972) 596-7410
- NPI assigned
- Jul 6, 2010
- 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 | 33975 | TX | Primary |
Addresses
Primary practice location
2415 Coit Rd Ste B
Plano, TX 75075-3758
Mailing address
4200 Horizon North Pkwy
#1231
Dallas, TX 75287-2809
Phone (214) 636-5919
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 |
|---|---|---|---|
| 33975 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gearing Up | Mental Health | Past | Accepting new patients |
| Gearing Up Counseling Centers, Inc. | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Plano, TX
- NPI 1548583610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1174835243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 HORIZON NORTH PKWY",
"address_2": "#1231",
"city": "DALLAS",
"state": "TX",
"postal_code": "752872809",
"telephone_number": "214-636-5919",
"fax_number": "972-596-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 COIT RD STE B",
"city": "PLANO",
"state": "TX",
"postal_code": "750753758",
"telephone_number": "972-596-7229",
"fax_number": "972-596-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFENBERG",
"first_name": "STACEY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "33975",
"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 Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.