Shannon Barousse, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LMFT-10649 Issued in AZ

Practice address

7565 E Eagle Crest Dr Ste 201
Mesa, AZ 85207-1067

Phone

(480) 788-5069

NPI assigned

May 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Desert Vista Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
  • NPI 1386066181

  Professional

  NPD

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1326737560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 E EAGLE CREST DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071067",
            "telephone_number": "480-788-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 E EAGLE CREST DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071067",
            "telephone_number": "480-788-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROUSSE",
        "first_name": "SHANNON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LMFT-10649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Philip Barney, D.D.S.
• Barnum Nutrition
• Melinda Nichole Barnum, MS, RD
• Laura Baron, MD
• Jessica Baronas, PT, DPT
• David Barr
• Teresita Barrantes, N.M.D.
• Juan Armando Barraza
• Keira Barraza, LMSW
• Judith Ag Barreto

• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.