Active NPI
Shawnnell Batiste, LPC
- Professional Counselor
- Leander, TX
National Provider Identifier
1245575521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80105
- Practice address
- 304 Golden Eagle LN
Leander, TX 78641-1761 - Phone
- (470) 331-3077
- NPI assigned
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 80105 | TX | |
| Counselor | 101Y00000X | 6169 | LA | |
| Mental Health Counselor | 101YM0800X | 6169 | LA | |
| Mental Health Counselor | 101YM0800X | 80105 | TX | |
| Professional Counselor | 101YP2500X | 6169 | LA | |
| Developmental Therapist | 222Q00000X | |||
| Professional Counselor | 101YP2500X | 80105 | TX | Primary |
Addresses
Primary practice location
304 Golden Eagle LN
Leander, TX 78641-1761
Mailing address
PO Box 1871
Leander, TX 78646-1871
Phone (512) 621-7599
Other practice location 1
1210 Cottonwood Creek Trl Ste 300
Cedar Park, TX 78613-2688
Phone (833) 966-2730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3873614-03 | Medicaid | TX | |
| 3873614-02 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80105 | TX | MD | Counselor |
| 6169 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choosing Empowerment, LLC | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
1210 Cottonwood Creek Trl
Ste 300
Cedar Park, TX 78613
Phone (512) 931-4801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Leander, TX
- NPI 1619585676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1245575521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1871",
"city": "LEANDER",
"state": "TX",
"postal_code": "786461871",
"telephone_number": "512-621-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 GOLDEN EAGLE LN",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411761",
"telephone_number": "470-331-3077"
}
],
"practiceLocations": [
{
"address_1": "1210 Cottonwood Creek Trl Ste 300",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786132688",
"country_code": "US",
"telephone_number": "833-966-2730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATISTE",
"first_name": "SHAWNNELL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "80105",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "6169",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "6169",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "80105",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6169",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3873614-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3873614-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.