Active NPI
Shannon Nicole Story, LPC
- Mental Health Counselor
- Lufkin, TX
National Provider Identifier
1578814554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2001 S Medford Dr
Lufkin, TX 75901-6260 - Phone
- (936) 633-5676
- Fax
- (936) 633-5695
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 67523 | TX | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2001 S Medford Dr
Lufkin, TX 75901-6260
Mailing address
2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5676
Other names 1
- Shannon Nicole Beck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Center | Current | Accepting new patients |
Locations
2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672
3824 N University Dr
Nacogdoches, TX 75965
Phone (936) 558-6200
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.
-
- Psychiatry Physician
- Lufkin, TX
- NPI 1396792420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1578814554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S MEDFORD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759016260",
"telephone_number": "936-633-5676",
"fax_number": "936-633-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MEDFORD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759016260",
"telephone_number": "936-633-5676",
"fax_number": "936-633-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "SHANNON",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67523",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "BECK",
"middle_name": "NICOLE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.