Active NPI
Shanaci Cook, LPC-INTERN
- Professional Counselor
- Wylie, TX
National Provider Identifier
1467097436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76458
- Practice address
- 303 S Highway 78 Ste 100
Wylie, TX 75098-3957 - Phone
- (469) 209-1932
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76458 | TX | Primary |
Addresses
Primary practice location
303 S Highway 78 Ste 100
Wylie, TX 75098-3957
Mailing address
303 S Highway 78 Ste 100
Wylie, TX 75098-3957
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76458 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1467097436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S HIGHWAY 78 STE 100",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S HIGHWAY 78 STE 100",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983957",
"telephone_number": "469-209-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "SHANACI",
"credential": "LPC-INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
- Comfort Care Rides Nemt LLC
- Comprehensive Medical Clinic, a Professional Medical Corporation
- Misti Compton
- Concord Healthcare Solutions PLLC
- Jaclyn Contreras
- Cookies and Milk Lactation Services, LLC
- Gina W. Cooper
- Cornerstone Assisted Living of Wylie
- Cornerstone Family Eyecare LLC
- Garry Drew Coronell, LPC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.