Shelli Peevey

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1401 Sandia PLZ
Bryan, TX 77802-4356

Phone

(512) 650-9252

NPI assigned

Sep 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Amanda Pasley Gray, LPC, PLLC

  • Professional Counselor
  • Bryan, TX
  • NPI 1790367415
  NPD

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1336860766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SANDIA PLZ",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024356",
            "telephone_number": "512-650-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SANDIA PLZ",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024356",
            "telephone_number": "512-650-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEVEY",
        "first_name": "SHELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amandagraycounselingsupervision.org",
            "affiliation": "N",
            "endpointDescription": "Domain",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Sandia Plz",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778024356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Renee Payne
• Eric D Payton Jr., LPC
• Jatisha Payton
• Collin James Peacock, PHARMD
• Roderick Leighton Peddy, DC
• Charles Kevin Peirce, M.D.
• Diana Marie Peirce, M.D.
• Katie Pekarek, D.O.
• Miranda Leigh Pelzel, APRN
• Rita Sonia Pena, L.M.T

• Contractor in Bryan, TX
• Providers in Bryan, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.