Shena A Duprez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010127 Issued in PA

Practice address

122 53 Boulevard
Coalport, PA 16627

Phone

(814) 672-5881

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shena A Duprez Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Glendale Area Medical Association, Inc

  dba Glendale Area Medical Center

  • Federally Qualified Health Center (FQHC)
  • Coalport, PA
  • NPI 1255300596

  Corporate Officer

  CMS ownership

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.

• Kinetics Counseling

  • Community/Behavioral Health Agency
  • Coalport, PA
  • NPI 1356838866
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1225544661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "BIGLER",
            "state": "PA",
            "postal_code": "168250319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 53 BOULEVARD",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "16627",
            "telephone_number": "814-672-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREZ",
        "first_name": "SHENA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENA",
            "last_name": "DUPREZ",
            "middle_name": "A",
            "credential": "SHENA GRASSMYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cambrian Rehabilitation Associates, P.C. (Penncare Physical Therapy)
• Mary Elizabeth Gabriel, D.P.T.
• Gregory P Gates, DMD
• Glendale Area Medical Association, Inc (Glendale Area Medical Center)
• Glendale Rehabilitation Inc.
• Staci Kephart, PA

• Professional Counselor in Coalport, PA
• Providers in Coalport, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.