Active NPI
Sonja Lynette Shipp, LPC, LCDC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1356782098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65614
- Practice address
- 5787 South Hampton Road, Suite 230-K
Dallas, TX 75232 - Phone
- (469) 730-3360
- Fax
- (469) 730-3361
- NPI assigned
- Jul 10, 2013
- Last updated
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11144 | TX | |
| Professional Counselor | 101YP2500X | 65614 | TX | Primary |
Addresses
Primary practice location
5787 South Hampton Road, Suite 230-K
Dallas, TX 75232
Mailing address
5787 South Hampton Road Suite 230-K
Dallas, TX 75232
Phone (469) 730-3360
Other names 1
- Sonja Lynette Watkins
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 |
|---|---|---|---|
| 11144 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 65614 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phases Counseling & Mental Health Services, PLLC | Addiction (Substance Use Disorder) | 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.
-
- Professional Counselor
- Dallas, TX
- NPI 1508106048
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1356782098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5787 SOUTH HAMPTON ROAD SUITE 230-K",
"city": "DALLAS",
"state": "TX",
"postal_code": "75232",
"telephone_number": "469-730-3360",
"fax_number": "469-730-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5787 SOUTH HAMPTON ROAD, SUITE 230-K",
"city": "DALLAS",
"state": "TX",
"postal_code": "75232",
"telephone_number": "469-730-3360",
"fax_number": "469-730-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPP",
"first_name": "SONJA",
"middle_name": "LYNETTE",
"credential": "LPC, LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11144",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONJA",
"last_name": "WATKINS",
"middle_name": "LYNETTE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.