Individual provider Active NPI

Shauna Frisbie, ED.D. LPC

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1437264108
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16714 Issued in TX
Practice address
5212 75TH St
Lubbock, TX 79424-2520
Phone
(806) 781-5143
Fax
(806) 698-8710
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16714 TX Primary

Addresses

Primary practice location

5212 75TH St
Lubbock, TX 79424-2520

Mailing address

5212 75TH St
Lubbock, TX 79424-2520
Phone (806) 781-5143

Other identifiers 2

IdentifierTypeStateIssuer
10773361OtherTXCAQH
4066LCOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16714TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1437264108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "806-781-5143",
            "fax_number": "806-698-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "806-781-5143",
            "fax_number": "806-698-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBIE",
        "first_name": "SHAUNA",
        "credential": "ED.D. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10773361",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4066LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.