Andrew Christopher Shanks, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14662 Issued in TX

Practice address

2132 Antone St
Austin, TX 78723

Phone

(512) 650-0874

NPI assigned

Jun 4, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1700378999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 ANTONE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235460",
            "telephone_number": "512-650-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 ANTONE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-650-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Annika Way",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "78602",
            "country_code": "US",
            "telephone_number": "512-650-0874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "722 Annika Way",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "78602",
            "country_code": "US",
            "telephone_number": "512-650-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "ANDREW",
        "middle_name": "CHRISTOPHER",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Alexis Laurielle Shaney, LCSW
• Courtney Safron Shanitkvich, RD
• Hayley Ellen Shank, OTR, OTD
• Shruti Shanker, D.O.
• Tonya Shankle
• Laranci Shanmugarajah
• George Mark Shannan
• George Martin Shannan, D.C.
• Shannon M Mekuly LPC Atr P.C
• Shannon S Wellness LLC

• Addiction (Substance Use Disorder) Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.