Active NPI
Terry L Shafer, LPC-MHSP
- Professional Counselor
- Brentwood, TN
National Provider Identifier
1710202494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC534
- Practice address
- 7107 Crossroads Blvd
Suite 106
Brentwood, TN 37027-2805 - Phone
- (615) 516-0106
- NPI assigned
- Apr 6, 2010
- Sex
- Male
- 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 | LPC534 | TN | Primary |
Addresses
Primary practice location
7107 Crossroads Blvd
Suite 106
Brentwood, TN 37027-2805
Mailing address
7107 Crossroads Blvd
Suite 106
Brentwood, TN 37027-2805
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 |
|---|---|---|---|
| LPC534 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1710202494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7107 CROSSROADS BLVD",
"address_2": "SUITE 106",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7107 CROSSROADS BLVD",
"address_2": "SUITE 106",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272805",
"telephone_number": "615-516-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "TERRY",
"middle_name": "L",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.