Shawnah Danell Bass
Individual provider Active NPI Professional Counselor · Cross Plains, TX
NPI 1194914036 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1194914036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 58301 (TX)
- Practice address
- 301 S Main St
Cross Plains, TX 76443-2581 - Phone
- (254) 725-4311
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shackelford County Community Resource Center
Practice addresses (Care Compare)
301 S Main St
Cross Plains, TX 76443-2581
Phone (254) 725-4311
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109004773 | TX | Practitioner - Mental Health Counselor | 8022469550 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58301 | TX | MD | Professional Counselor |
| 23962 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
| Shackelford County Community Resource Center | Current |
Accepting new patients | |
| Shackelford County Community Resource Center | Current |
Accepting new patients | |
| Pennissi P. Taylor PH.D,PC | Past | Accepting new patients | |
| Shackelford County Community Resource Center | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
725 Pate St
Albany, TX 76430
Phone (325) 762-2447
2802 W Walker St
Breckenridge, TX 76424
Phone (254) 559-7215
1712 N Access Rd
Clyde, TX 79510
Phone (325) 893-4010
301 S Main St
Cross Plains, TX 76443
Phone (254) 725-4311
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
217 Edwards
Merkel, TX 79536
Phone (325) 928-0014
Interoperability endpoints
- shawnah.bass.1@28291.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23962 | TX | |
| Professional Counselor | 101YP2500X | 58301 | TX | Yes |
Addresses
Primary practice location
301 S Main St
Cross Plains, TX 76443-2581
Mailing address
PO Box 1391
Brownwood, TX 76804-1391
Phone (325) 649-4357
Other providers in Cross Plains, TX
- Codi Etel Astiasaran
- Nicole Augustyniak
- Brownwood Hospital, L.P.
- City of Cross Plains
- City of Cross Plains
- Cross Plains Isd
- Chelsea Michelle Dickson
All providers in Cross Plains, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.