Shannon Cardona
Individual provider Active NPI Professional Counselor · Maxwell, TX
NPI 1639723844 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1639723844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 75142 (TX)
- Practice address
- 129 Delta CRST
Maxwell, TX 78656-2050 - Phone
- (512) 796-4280
- NPI assigned
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75142 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75142 | TX | Yes |
Addresses
Primary practice location
129 Delta CRST
Maxwell, TX 78656-2050
Mailing address
129 Delta CRST
Maxwell, TX 78656-2050
Phone (512) 796-4280
Other providers in Maxwell, TX
- Ad Peak Medical Supplies LLC
- Aries Medical Supplies LLC
- Sarah Carranza
- Hannah Jane Cruz
- Elizabeth Michelle Cunningham
- Deep Roots Recovery LLC
- Rafael Ramirez Flores
All providers in Maxwell, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.