Gloria Kemp Shami, LPC LMFT AAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC09632 Issued in TX

Practice address

1050 W Pipeline Rd
Suite 202
Hurst, TX 76053

Phone

(817) 282-6236

Fax

(817) 285-9542

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1548360506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W PIPELINE RD",
            "address_2": "SUITE 202",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-282-6236",
            "fax_number": "817-285-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W PIPELINE RD",
            "address_2": "SUITE 202",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-282-6236",
            "fax_number": "817-285-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMI",
        "first_name": "GLORIA",
        "middle_name": "KEMP",
        "name_prefix": "Ms.",
        "credential": "LPC LMFT AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "LPC09632",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "AAC16931100",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "LMFT000296042264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "128544",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025762801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Hurst, TX
• Providers in Hurst, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.