Shana Conover, M.a., LPC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

18503 Issued in TX

Legal business name

SHANA CONOVER, M.A., LPC

Practice address

100 Independence Center Suite 208
Tyler, TX 75703

Phone

(903) 534-6240

Fax

(903) 534-6248

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Shana Jean Conover, LPC

Title

Owner

Phone

(903) 534-6240

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1710146139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE CENTER SUITE 208",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-534-6240",
            "fax_number": "903-534-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE CENTER SUITE 208",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-534-6240",
            "fax_number": "903-534-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANA CONOVER, M.A., LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-534-6240",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "18503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11568031",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1235200072",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "0023NU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R Shafer, MD
• Zainab Aisha Shafi
• Imam H Shaik, M.D
• Mahnoor Yousif Shaikh, M.D.
• Moinuddin A. Shaikh, M.D.
• Michael James Shannon, ATP
• Sharlet Slough DO
• Tina Sharma, MD
• Sharon D Necessary MD PA
• Rachel Sharpton

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.