Active NPI
Shelly Renee Evans, M.S., LPC
- Professional Counselor
- Brenham, TX
National Provider Identifier
1508160151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18960
- Practice address
- 2542 Ryan St
Brenham, TX 77833-5883 - Phone
- (281) 855-1982
- Fax
- (281) 864-4353
- NPI assigned
- Dec 22, 2010
- 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 | 18960 | TX | Primary |
Addresses
Primary practice location
2542 Ryan St
Brenham, TX 77833-5883
Mailing address
8955 Highway 6 N
Suite 150
Houston, TX 77095-2320
Phone (281) 855-1982
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18960 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1508160151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8955 HIGHWAY 6 N",
"address_2": "SUITE 150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952320",
"telephone_number": "281-855-1982",
"fax_number": "281-864-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 RYAN ST",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335883",
"telephone_number": "281-855-1982",
"fax_number": "281-864-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SHELLY",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "M.S., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.