Individual provider Active NPI

Dana Zipora Shafir, PH.D.

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1679581771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
59574 Issued in TX
Practice address
2100 N Main St
Ste 226
Fort Worth, TX 76106-8570
Phone
(817) 626-6401
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 59574 TX Primary

Addresses

Primary practice location

2100 N Main St
Ste 226
Fort Worth, TX 76106-8570

Mailing address

4124 Timbersedge TRL
Arlington, TX 76015-4543
Phone (817) 223-6961

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679581771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 TIMBERSEDGE TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154543",
            "telephone_number": "817-223-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST",
            "address_2": "STE 226",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761068570",
            "telephone_number": "817-626-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIR",
        "first_name": "DANA",
        "middle_name": "ZIPORA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.