Individual provider Active NPI

Elois Marie Shangreaux, LPC

  • Counselor
  • El Paso, TX
National Provider Identifier
1376380535
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
90225 Issued in TX
Practice address
2927 Pershing Dr
El Paso, TX 79903-2419
Phone
(915) 543-8448
NPI assigned
Jul 13, 2024
Last updated
Jul 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 90225 TX Primary

Addresses

Primary practice location

2927 Pershing Dr
El Paso, TX 79903-2419

Mailing address

2927 Pershing Dr
El Paso, TX 79903-2419
Phone (915) 543-8448

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
I20250130002132 TX Practitioner - Mental Health Counselor 3072042381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Life Family Counseling CurrentSince Nov 26, 2024 Accepting new patients

Locations

2927 Pershing Dr
El Paso, TX 79903
Phone (915) 543-8448

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": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1376380535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032419",
            "telephone_number": "915-543-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032419",
            "telephone_number": "915-543-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANGREAUX",
        "first_name": "ELOIS",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "90225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.