Individual provider Active NPI

Shawnah Danell Bass

  • Professional Counselor
  • Cross Plains, TX
National Provider Identifier
1194914036
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
58301 Issued in TX
Practice address
301 S Main St
Cross Plains, TX 76443-2581
Phone
(254) 725-4311
NPI assigned
Oct 16, 2007
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23962 TX
Professional Counselor 101YP2500X 58301 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004773 TX Practitioner - Mental Health Counselor 8022469550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 S Main St
Cross Plains, TX 76443-2581
Phone (254) 725-4311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58301TXMDProfessional Counselor
23962TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shackelford County Community Resource Center CurrentSince Jan 1, 2024 Accepting new patients
Shackelford County Community Resource Center CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Nov 1, 2024 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

  • Direct secure messaging: shawnah.bass.1@28291.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1194914036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768041391",
            "telephone_number": "325-649-4357",
            "fax_number": "325-646-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "CROSS PLAINS",
            "state": "TX",
            "postal_code": "764432581",
            "telephone_number": "254-725-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "SHAWNAH",
        "middle_name": "DANELL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "23962",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "58301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Plains, TX

Sources for this page

Verify at the official NPI Registry.