Shaun Dale Mewes, LMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015802 Issued in PA

Practice address

95 Enterprise St Ste 104
Elizabeth, PA 15037-2070

Phone

(412) 754-1100

NPI assigned

Aug 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Sanderson Psychological, LLC

  • Community/Behavioral Health Agency
  • Elizabeth, PA
  • NPI 1699212431
  NPD

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1427537133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 POLO CLUB DR",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084711",
            "telephone_number": "402-239-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ENTERPRISE ST STE 104",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372070",
            "telephone_number": "412-754-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWES",
        "first_name": "SHAUN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017449",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2664",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Kate Massella, MS
• Noel Suzanne Maurizi, PSYD.
• Caitlin Nicole McGinn, L.M.T., C.M.T.
• Tyler Andrew Meier, DPT
• Madison Renee Messina
• Carley Mingone
• Minyon Counseling & Psychological Consulting, LLC
• Ellis Paul Mirone, PHARMD
• Ashley Renee Mlakar, DPT
• Deanna Lynn Mooney, NP

• Professional Counselor in Elizabeth, PA
• Providers in Elizabeth, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.