Shine Psychological Testing & Assessment Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65173 Issued in TX

Legal business name

SHINE PSYCHOLOGICAL TESTING & ASSESSMENT SERVICES

Practice address

3405 Milton Ave
Dallas, TX 75205-5602

Phone

(214) 530-2337

NPI assigned

Nov 18, 2016

Last updated

Nov 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Maupin, M.A., LPC-S

Title

Owner

Phone

(214) 530-2337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1649713967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 OCEAN SPRAY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 MILTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055602",
            "telephone_number": "214-530-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE PSYCHOLOGICAL TESTING & ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-530-2337",
        "authorized_official_credential": "M.A., LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.