Active NPI
Shaunnika Green
- Counselor
- Sugar Land, TX
National Provider Identifier
1245779404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 72551
- Practice address
- 12808 W Airport Blvd
228
Sugar Land, TX 77478-6184 - Phone
- (832) 336-1001
- NPI assigned
- Feb 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 72551 | TX | Primary |
Addresses
Primary practice location
12808 W Airport Blvd
228
Sugar Land, TX 77478-6184
Mailing address
12808 W Airport Blvd
228
Sugar Land, TX 77478-6184
Phone (832) 336-1001
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1506 Broadway St
Suite 101
Pearland, TX 77581-5838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72551 | TX | MD | Counselor |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pearland, TX
- NPI 1285337550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1245779404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12808 W AIRPORT BLVD",
"address_2": "228",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774786184",
"telephone_number": "832-336-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12808 W AIRPORT BLVD",
"address_2": "228",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774786184",
"telephone_number": "832-336-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SHAUNNIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "72551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.
- 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.