Active NPI
Shirley Marie Sewell, LPC
- Professional Counselor
- Stafford, TX
National Provider Identifier
1689799496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16252
- Practice address
- 4915 S Main St Ste 108
Stafford, TX 77477-4601 - Phone
- (281) 831-6828
- Fax
- (281) 403-1480
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16252 | TX | Primary |
Addresses
Primary practice location
4915 S Main St Ste 108
Stafford, TX 77477-4601
Mailing address
2228 Waterford Village Blvd
Missouri City, TX 77459-1840
Phone (281) 831-6828
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16252 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689799496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 WATERFORD VILLAGE BLVD",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774591840",
"telephone_number": "281-831-6828",
"fax_number": "281-403-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 S MAIN ST STE 108",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774601",
"telephone_number": "281-831-6828",
"fax_number": "281-403-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "SHIRLEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.