Individual provider Active NPI

Delelah Shoubaki, LPC-ASSOCIATE

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1639894751
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86473 Issued in TX
Practice address
3717 La Paz Dr
Corpus Christi, TX 78415-3636
Phone
(850) 758-9703
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86473 TX Primary

Addresses

Primary practice location

3717 La Paz Dr
Corpus Christi, TX 78415-3636

Mailing address

3717 La Paz Dr
Corpus Christi, TX 78415-3636
Phone (850) 758-9703

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
I20260326002899 TX Practitioner - Mental Health Counselor 2365927464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Central Expy S
Suite 340
Allen, TX 75013-8109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86473TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Foundations Counseling Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1639894751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 LA PAZ DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784153636",
            "telephone_number": "850-758-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 LA PAZ DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784153636",
            "telephone_number": "850-758-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUBAKI",
        "first_name": "DELELAH",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.