Active NPI
Shannon Baker, LPC
- Professional Counselor
- Round Rock, TX
National Provider Identifier
1346704111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73760
- Practice address
- 1315 Sam Bass Cir
Round Rock, TX 78681-2932 - Phone
- (512) 297-8262
- NPI assigned
- Jan 25, 2019
- 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 | 73760 | TX | Primary |
Addresses
Primary practice location
1315 Sam Bass Cir
Round Rock, TX 78681-2932
Mailing address
11121 Friendship Dr
Austin, TX 78754-5954
Phone (512) 297-8262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73760 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1346704111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11121 FRIENDSHIP DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787545954",
"telephone_number": "512-297-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 SAM BASS CIR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786812932",
"telephone_number": "512-297-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SHANNON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.