Carron Lou Shellenberger, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15336 Issued in TX

Practice address

1111 W 12TH Street
Odessa, TX 79763

Phone

(432) 333-3265

Fax

(432) 570-3346

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midland, TX
  • NPI 1700976453
  Medicare reassignment NPD
• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Counselor
  • Midland, TX
  • NPI 1649442310
  NPD
• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alpine, TX
  • NPI 1851464119
  NPD
• Permian Basin Community Centers for MHMR

  • Psychiatry Physician
  • Odessa, TX
  • NPI 1043381924
  NPD (past)
• Permian Basin Community Centers for MHMR

  • Psychiatry Physician
  • Odessa, TX
  • NPI 1073614624
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1699835462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ILLINOIS",
            "address_2": "STE 400",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-570-3333",
            "fax_number": "432-570-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 12TH STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79763",
            "telephone_number": "432-333-3265",
            "fax_number": "432-570-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBERGER",
        "first_name": "CARRON",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Shayeb, M.D.
• Miriam Shayeb, MD
• James A Sheehan, M.D.
• Wade H Shelby, PT
• Maria Angelina Shelkey, MS, CCC-SLP
• Haleigh Morgan Shelton, OD
• Michael Vise Shelton, M.D.
• Holly Barker Sherman, M.S.CCC.SLP
• Tanya Desirae Sherman, ATC, LAT
• Stephanie Lou Sherrin, LVN

• Mental Health Counselor in Odessa, TX
• Providers in Odessa, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.