Hunter Shade

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84584 Issued in TX

Practice address

2507 79TH St Ste B
Lubbock, TX 79423-2211

Phone

(806) 712-5225

NPI assigned

Jun 30, 2022

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Dr. Nicole Black, PHD, LPC-S, LCDC, RPT PLLC

  • Professional Counselor
  • Lubbock, TX
  • NPI 1780270173
  Medicare reassignment NPD
• Journeys Counseling Center

  • Professional Counselor
  • Lubbock, TX
  • NPI 1144791617
  Medicare reassignment NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1457083149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 66TH ST STE E",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 79TH ST STE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232211",
            "telephone_number": "806-712-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "HUNTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sexton Enterprises Dba Yellow Cab
• Mindy Lee Sexton, PHARMD RPH
• Armin Seyedahmadi, DO
• Susan Lane Seymore, M.S. CCC-SLP
• Hamed Abdulsalam Shabaneh Al-Tamimi, M.D.
• Serena Leigh Shade, LPC
• Aimee Shadrach, RN
• Hayden Shaffer, MS., CF-SLP
• Arsalan Shah, MD
• Naurine Shah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.