Active NPI
Melissa Nicole Shannon, MS, LPC-INTERN
- Professional Counselor
- Saginaw, TX
National Provider Identifier
1306082656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63947
- Practice address
- 609 McNeill LN
Saginaw, TX 76179-6358 - Phone
- (817) 988-4535
- NPI assigned
- Dec 16, 2008
- Last updated
- Dec 16, 2008
- 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 | 63947 | TX | Primary |
Addresses
Primary practice location
609 McNeill LN
Saginaw, TX 76179-6358
Mailing address
609 McNeill LN
Saginaw, TX 76179-6358
Phone (817) 988-4535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63947 | Other | TX | LPC-INTERN NUMBER |
Other names 1
- Ms. Melissa Nicole Lucas
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63947 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1306082656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 MCNEILL LN",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761796358",
"telephone_number": "817-988-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 MCNEILL LN",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761796358",
"telephone_number": "817-988-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "MELISSA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MS, LPC-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC-INTERN NUMBER",
"identifier": "63947",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "LUCAS",
"middle_name": "NICOLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saginaw, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.