Active NPI
Shannon Michele Mason, LPC, LCDC
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1487214318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74262
- Practice address
- 6202 Iola Ave Ste 137
Lubbock, TX 79424-2729 - Phone
- (806) 470-1215
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 74262 | TX | Primary |
Addresses
Primary practice location
6202 Iola Ave Ste 137
Lubbock, TX 79424-2729
Mailing address
12906 County Road 3500
Slaton, TX 79364-7977
Phone (806) 470-1215
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 |
|---|---|---|---|
| 74262 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1487214318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12906 COUNTY ROAD 3500",
"city": "SLATON",
"state": "TX",
"postal_code": "793647977",
"telephone_number": "806-470-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 IOLA AVE STE 137",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242729",
"telephone_number": "806-470-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SHANNON",
"middle_name": "MICHELE",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74262",
"primary": true
}
],
"identifiers": [],
"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 Jun 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.