Shatavia Nicole Andrews, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

91023 Issued in TX

Practice address

502 S Old Orchard LN Ste 126
Lewisville, TX 75067-4374

Phone

(972) 436-7962

NPI assigned

Nov 12, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pediplace

  • Pediatric Nurse Practitioner
  • Lewisville, TX
  • NPI 1467573311
  NPD (past)

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1497579940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905",
            "telephone_number": "972-437-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S OLD ORCHARD LN STE 126",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674374",
            "telephone_number": "972-436-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SHATAVIA",
        "middle_name": "NICOLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Jenice Anderson
• Eric T Anderson, MD
• Mikyla Feliciano Anderson, PT, DPT
• Andover Home Health Care,LLC
• Jennifer Andress, PTA
• Angel Santiago Jr., D.C., P.a.
• Anil Nanda, M.D., P.a.
• Maya Anil, RN
• Kahani Sourabh Antani, PT
• Anthem Home Care, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.