Shaneka Lynette Prowell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC04343 Issued in AL

Practice address

2008 21St Street Ensley
Birmingham, AL 35218-2963

Phone

(205) 224-4387

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1386354140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 ALPINE VLG APT C",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165936",
            "telephone_number": "205-914-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 21ST STREET ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352182963",
            "telephone_number": "205-224-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROWELL",
        "first_name": "SHANEKA",
        "middle_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeca Protasio
• Protective Life (Protective Life BHS Clinic)
• Proton International Alabama, LLC (Proton International at UAB)
• Carl Ross Provenzano, DDS
• Providence Family Psychiatry, P.C.
• Proxycare of Alabama Inc (Proxycare Alabama Inc)
• Sandra Katharina Prucka, MS
• Kalyan Prudhvi, MD
• Angie Smith Pruett, MS CCC-SLP
• Brandon Scott Pruett, M.D., PH.D.

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.