Individual provider Active NPI

Feda Shawwa, LPC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1629339635
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65504 Issued in TX
Practice address
5601 Democracy Dr
Suite 185
Plano, TX 75024-3687
Phone
(214) 868-2220
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 65504 TX Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

5601 Democracy Dr
Suite 185
Plano, TX 75024-3687

Mailing address

5601 Democracy Dr
Suite 185
Plano, TX 75024-3687
Phone (214) 868-2220

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306003293 TX Practitioner - Mental Health Counselor 9537505110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5465 Legacy Dr
Suite 650
Plano, TX 75024-4171
Phone (214) 868-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Efc Counseling LLC Addiction (Substance Use Disorder) CurrentSince Feb 4, 2024 Accepting new patients

Locations

5465 Legacy Dr
Ste 650
Plano, TX 75024
Phone (214) 868-2220

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.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1629339635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 185",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "214-868-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 185",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "214-868-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWWA",
        "first_name": "FEDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65504",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.