Active NPI
Shawnta Dynise Brent, LSW, LPCC
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1578609368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0008428
- Practice address
- 1821 Summit Rd
Suite 216
Cincinnati, OH 45237-2822 - Phone
- (513) 948-0023
- Fax
- (513) 948-0087
- NPI assigned
- Jan 29, 2007
- Last updated
- Nov 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0008428 | OH | Primary |
| Social Worker | 104100000X | S23628 | OH |
Addresses
Primary practice location
1821 Summit Rd
Suite 216
Cincinnati, OH 45237-2822
Mailing address
1490 University Blvd
Hamilton, OH 45011-3305
Phone (513) 896-7887
Other names 1
- Ms. Shawnta Dynise Thomas
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0008428 | OH | MD | Professional Counselor |
| S23628 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace N Tranquility Counseling Service | Professional | Current | Accepting new patients |
Locations
8080 Beckett Center Dr
Ste 223
West Chester, OH 45069
Phone (513) 608-3856
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- West Chester, OH
- NPI 1548916323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1578609368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 UNIVERSITY BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450113305",
"telephone_number": "513-896-7887",
"fax_number": "513-896-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 SUMMIT RD",
"address_2": "SUITE 216",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452372822",
"telephone_number": "513-948-0023",
"fax_number": "513-948-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENT",
"first_name": "SHAWNTA",
"middle_name": "DYNISE",
"name_prefix": "Mrs.",
"credential": "LSW, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0008428",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S23628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAWNTA",
"last_name": "THOMAS",
"middle_name": "DYNISE",
"prefix": "MS.",
"credential": "LSW, PC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.