Individual provider Active NPI

Shawnnell Batiste, LPC

  • Professional Counselor
  • Leander, TX
National Provider Identifier
1245575521
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80105 Issued in TX
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

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3873614-03MedicaidTX
3873614-02MedicaidTX

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
I20240628002850 TX Practitioner - Mental Health Counselor 8921542168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80105TXMDCounselor
6169LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Choosing Empowerment, LLC CurrentSince Sep 10, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jun 15, 2024 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.

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

Verify at the official NPI Registry.