Organization Active NPI

Shine Counseling and Consulting, LLC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1497330989
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHINE COUNSELING AND CONSULTING, LLC
Practice address
5151 Flynn Pkwy Ste 506
Corpus Christi, TX 78411-4392
Phone
(361) 688-2896
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Jordan McDonald Morin, LPCNPI 1033563564
Title
Ceo
Phone
(361) 688-2896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5151 Flynn Pkwy Ste 506
Corpus Christi, TX 78411-4392

Mailing address

PO Box 271675
Corpus Christi, TX 78427-1675
Phone (361) 688-2896

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan@healthruplay.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1497330989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271675",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271675",
            "telephone_number": "361-688-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 506",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114392",
            "telephone_number": "361-688-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-688-2896",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan@healthruplay.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5151 Flynn Pkwy Ste 506",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784114392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.