Individual provider Active NPI

Shalanda Williams

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1336609924
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76877 Issued in TX
Practice address
12118 Mosscrest Dr
Houston, TX 77048-4020
Phone
(281) 450-1456
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76877 TX Primary

Addresses

Primary practice location

12118 Mosscrest Dr
Houston, TX 77048-4020

Mailing address

12118 Mosscrest Dr
Houston, TX 77048-4020
Phone (281) 450-1456

Other practice location 1

9401 Southwest Fwy Fl 8
Houston, TX 77074-1407
Phone (713) 970-7000

Other practice location 2

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-7000

Other practice location 3

9401 Southwest Fwy Fl 8
Houston, TX 77074-1407
Phone (713) 970-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114000645 TX Practitioner - Mental Health Counselor 1153855085 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76877TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Jun 6, 2025 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Jun 6, 2025 Accepting new patients
Azalea Health Services Texas LLC CurrentSince Oct 25, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jun 6, 2025 Accepting new patients
Azalea Health Services PastSince Jul 17, 2023 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1336609924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 MOSSCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770484020",
            "telephone_number": "281-450-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12118 MOSSCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770484020",
            "telephone_number": "281-450-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy Fl 8",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "fax_number": "713-970-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77074",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "fax_number": "713-970-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 Southwest Fwy Fl 8",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "fax_number": "713-970-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHALANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.