Active NPI
Shereda Kay James, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1598097297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16605
- Practice address
- 711 W 38TH St Ste E2
Austin, TX 78705-1132 - Phone
- (512) 451-2186
- NPI assigned
- Feb 4, 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 | 16605 | TX | Primary |
Addresses
Primary practice location
711 W 38TH St Ste E2
Austin, TX 78705-1132
Mailing address
711 West 38TH Street, Suite E-2
Austin, TX 78705-1132
Phone (512) 451-2186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741200136 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 16605 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Park Counseling Center | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Austin, TX
- NPI 1750558359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1598097297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 WEST 38TH STREET, SUITE E-2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051132",
"telephone_number": "512-451-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE E2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051132",
"telephone_number": "512-451-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SHEREDA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "741200136",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.