Individual provider Active NPI

Shannon Nicole Mosher, LPC

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1346838638
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77810 Issued in TX
Practice address
1525 Lakeville Dr Ste 112
Kingwood, TX 77339-2068
Phone
(832) 543-3002
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 77810 TX Primary

Addresses

Primary practice location

1525 Lakeville Dr Ste 112
Kingwood, TX 77339-2068

Mailing address

12115 Fall River Pass LN
Humble, TX 77346-4569

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

LicenseStateTypeSpecialty
77810TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring Counseling & Wellness LLC CurrentSince Feb 14, 2021 Accepting new patients

Locations

1525 Lakeville Dr
Ste 112
Kingwood, TX 77339
Phone (832) 543-3002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1346838638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 FALL RIVER PASS LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LAKEVILLE DR STE 112",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392068",
            "telephone_number": "832-543-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.