Individual provider Active NPI

Shelley Ann Cano, LPC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1356584726
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63813 Issued in TX
Practice address
1105 Wooded Acres Dr
Suite #270
Waco, TX 76710-4468
Phone
(254) 751-1164
Fax
(254) 751-1736
NPI assigned
Apr 14, 2009
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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 63813 TX Primary

Addresses

Primary practice location

1105 Wooded Acres Dr
Suite #270
Waco, TX 76710-4468

Mailing address

1105 Wooded Acres Dr
Suite #270
Waco, TX 76710-4468
Phone (254) 751-1164

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
I20240507004529 TX Practitioner - Mental Health Counselor 8628419785 Practice locations: Waco, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63813TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confero Psychotherapy, PLLC Professional Past Accepting new patients

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, 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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1356584726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR",
            "address_2": "SUITE #270",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104468",
            "telephone_number": "254-751-1164",
            "fax_number": "254-751-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR",
            "address_2": "SUITE #270",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104468",
            "telephone_number": "254-751-1164",
            "fax_number": "254-751-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.