Active NPI
Shannon Lynn Fletcher, LPC
- Professional Counselor
- Wichita Falls, TX
National Provider Identifier
1285646232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60380
- Practice address
- 1800 Rose St
Wichita Falls, TX 76301-4219 - Phone
- (940) 322-2372
- Fax
- (940) 322-3578
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 60380 | TX | Primary |
Addresses
Primary practice location
1800 Rose St
Wichita Falls, TX 76301-4219
Mailing address
1808 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 322-2372
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9447452 | Other | TX | PHCS |
| 180278701 | Medicaid | TX | |
| 7490844 | Other | TX | AETNA BEHAVIORAL HEALTH |
| 180278702 | Medicaid | TX | |
| 7345LC | Other | TX | BCBS OF TEXAS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60380 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1285646232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 ROSE ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014219",
"telephone_number": "940-322-2372",
"fax_number": "940-322-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ROSE ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014219",
"telephone_number": "940-322-2372",
"fax_number": "940-322-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SHANNON",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9447452",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180278701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7490844",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180278702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "7345LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.