Jan Collins Shope, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18652 Issued in TX

Practice address

311 RR 620 S Ste 106
Lakeway, TX 78734-4747

Phone

(512) 263-4200

Fax

(512) 263-4200

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By 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

Practice roles

Locations

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.

• Lake Travis Counseling Connection PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakeway, TX
  • NPI 1396209052
  NPD Authorized official

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1417235763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RR 620 S STE 106",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344747",
            "telephone_number": "512-263-4200",
            "fax_number": "512-263-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RR 620 S STE 106",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344747",
            "telephone_number": "512-263-4200",
            "fax_number": "512-263-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPE",
        "first_name": "JAN",
        "middle_name": "COLLINS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanaz Ikonne, PLLC
• Lori Sheffield
• Corinna Shen, L.AC.
• Shruti Shinde
• Kendal Hammons Shipp, D.D.S.
• Seema Sidwani-Chawla, D.O
• Anita Raj Singal, MD
• Sumita Chakraborti Singh-Baker, D.D.S.
• Alison Crawford Sinsky, PT
• Skin and Cancer Institute Travis PA

• Professional Counselor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.