Active NPI
Shawnece Teague
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1255907986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3073 Salt Lake Rd
Indianapolis, IN 46214-1432 - Phone
- (317) 556-0528
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3073 Salt Lake Rd
Indianapolis, IN 46214-1432
Mailing address
7624 Monte Carlo Way
Indianapolis, IN 46278-1936
Other practice location 1
4954 E 56th St Ste 4
Indianapolis, IN 46220-5769
Phone (317) 500-4266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Therapy Center LLC | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1578048005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1255907986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7624 MONTE CARLO WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 SALT LAKE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462141432",
"telephone_number": "317-556-0528"
}
],
"practiceLocations": [
{
"address_1": "4954 E 56th St Ste 4",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462205769",
"country_code": "US",
"telephone_number": "317-500-4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEAGUE",
"first_name": "SHAWNECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.