Organization Active NPI

Shelley Lee Ma, LPC, PC

Doing business as Shelley Lee Christian Counseling

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1306263058
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19563 Issued in TX
Legal business name
SHELLEY LEE MA, LPC, PC
Doing business as
Shelley Lee Christian Counseling
Practice address
8200 Nahville
Suite 208
Lubbock, TX 79423
Phone
(806) 438-7737
Fax
(267) 544-3887
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Shelley Lee, LPC
Title
Owner
Phone
(806) 438-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 19563 TX Primary

Addresses

Primary practice location

8200 Nahville
Suite 208
Lubbock, TX 79423

Mailing address

8200 Nahville
Suite 208
Lubbock, TX 79423
Phone (806) 438-7737

Other identifiers 1

IdentifierTypeStateIssuer
175314703MedicaidTX

Other names 1

  • Shelley Lee Christian Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

8200 Nashville Ave
Ste 208
Lubbock, TX 79423
Phone (806) 438-7737

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1306263058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NAHVILLE",
            "address_2": "SUITE 208",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79423",
            "telephone_number": "806-438-7737",
            "fax_number": "267-544-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 NAHVILLE",
            "address_2": "SUITE 208",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79423",
            "telephone_number": "806-438-7737",
            "fax_number": "267-544-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY LEE MA, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-438-7737",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175314703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelley Lee Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.