Individual provider Active NPI

Shawn Paul Backs, MA, LPC

  • Mental Health Counselor
  • Yuma, AZ
National Provider Identifier
1497293880
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 16512 Issued in AZ
Practice address
2749 W County 14TH St
Yuma, AZ 85365-9757
Phone
(928) 985-1186
NPI assigned
Feb 6, 2017
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 16512 AZ Primary

Addresses

Primary practice location

2749 W County 14TH St
Yuma, AZ 85365-9757

Mailing address

791 S 4TH Ave Ste a
Yuma, AZ 85364-3067
Phone (928) 783-3986

Other practice location 1

791 S 4th Ave Ste A
Yuma, AZ 85364-3067
Phone (928) 783-3986 ext. 17919

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 16512AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Counseling of Yuma CurrentSince Jul 25, 2021 Accepting new patients
Horizon Health & Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1497293880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 S 4TH AVE STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853643067",
            "telephone_number": "928-783-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 W COUNTY 14TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853659757",
            "telephone_number": "928-985-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 S 4th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853643067",
            "country_code": "US",
            "telephone_number": "928-783-3986 x17919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKS",
        "first_name": "SHAWN",
        "middle_name": "PAUL",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC 16512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.