Individual provider Active NPI

Shannon Schimelpfening, LPC

  • Mental Health Counselor
  • Garden Ridge, TX
National Provider Identifier
1366910614
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
72299 Issued in TX
Practice address
19315 FM 2252 Ste 304
Garden Ridge, TX 78266-2553
Phone
(210) 702-9562
Fax
(210) 714-9639
NPI assigned
Nov 5, 2018
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 72299 TX Primary

Addresses

Primary practice location

19315 FM 2252 Ste 304
Garden Ridge, TX 78266-2553

Mailing address

19315 FM 2252 Ste 304
Garden Ridge, TX 78266-2553
Phone (210) 702-9562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 22, 2024 through May 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72299TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Oaks Counseling and Play Therapy, PLLC CurrentSince May 9, 2021 Accepting new patients
KM Counseling Services PLLC Mental Health Past Accepting new patients

Locations

19315 FM 2252
Ste 304
Garden Ridge, TX 78266
Phone (210) 702-9562

Organizations & group practices 2

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1366910614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 FM 2252 STE 304",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662553",
            "telephone_number": "210-702-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 FM 2252 STE 304",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662553",
            "telephone_number": "210-702-9562",
            "fax_number": "210-714-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMELPFENING",
        "first_name": "SHANNON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

Verify at the official NPI Registry.