Individual provider Active NPI

Cortney Shifferly, LPCI

  • Mental Health Counselor
  • Carrizo Springs, TX
National Provider Identifier
1205191079
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
68546 Issued in TX
Practice address
902 S 5TH St
Carrizo Springs, TX 78834-4206
Phone
(830) 876-2611
Fax
(830) 876-3079
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68546 TX Primary

Addresses

Primary practice location

902 S 5TH St
Carrizo Springs, TX 78834-4206

Mailing address

902 S 5TH St
Carrizo Springs, TX 78834-4206
Phone (830) 876-2611

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

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1205191079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S 5TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788344206",
            "telephone_number": "830-876-2611",
            "fax_number": "830-876-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S 5TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788344206",
            "telephone_number": "830-876-2611",
            "fax_number": "830-876-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFERLY",
        "first_name": "CORTNEY",
        "credential": "LPCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.