Qiuge/Lydia Shen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

82473 Issued in TX

Practice address

3600 Shire Blvd Ste 208
Richardson, TX 75082-2238

Phone

(214) 556-0996

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1295496883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD STE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD STE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822238",
            "telephone_number": "214-556-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "QIUGE/LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Litwak Counseling PLLC
• Rebekah Jolie Shelton Zaremba
• Mary Lauren Shelton, RDN, LD
• Shen Orthodontics PLLC
• Megan Shen, DDS
• Jeffery Shepherd, LMT, MMP
• Shine Pediatrics and Wellness Center P.a.
• Mitra Shirmanesh, MS, CCC-SLP
• Jackson Kole Shiver
• Leo Shkolnikov, D.C.

• Mental Health Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.