Individual provider Active NPI

Arzu Shams, M.S., LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1508246240
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70227 Issued in TX
Practice address
17103 Preston Rd Ste 230
Dallas, TX 75248
Phone
(972) 468-9400
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70227 TX Primary

Addresses

Primary practice location

17103 Preston Rd Ste 230
Dallas, TX 75248

Mailing address

17103 Preston Rd Ste 230
Dallas, TX 75248-1372
Phone (972) 468-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
70227TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Health & Wellness, PLLC Professional CurrentSince Jan 26, 2022 Accepting new patients

Locations

17103 Preston Rd
Ste 230
Dallas, TX 75248
Phone (972) 468-9400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1508246240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17103 PRESTON RD STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481372",
            "telephone_number": "972-468-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17103 PRESTON RD STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-468-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMS",
        "first_name": "ARZU",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.