Shana Jean Conover, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18503 Issued in TX

Practice address

1810 Shiloh Rd
Suite 605
Tyler, TX 75703-2419

Phone

(903) 530-9085

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1235200072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD",
            "address_2": "SUITE 605",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032419",
            "telephone_number": "903-530-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD",
            "address_2": "SUITE 605",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032419",
            "telephone_number": "903-530-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "SHANA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022519-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "010822112",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022519-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Connally
• Connect and Restore Therapy, LLC
• Connections Clinical Care, PLLC
• Connections of Hope
• William Chace Conner, M.D.
• Continuecare Hospital of Tyler, Inc.
• Sareena Contractor, DO
• David Cook, LOTA
• Deborah Knowles Cook II, SLP
• Eben G Cook, CRNA

• Mental Health Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.