Active NPI
Shantel Hayes, LPC
- Professional Counselor
- Missouri City, TX
National Provider Identifier
1720651326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83322
- Practice address
- 4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205 - Phone
- (281) 778-9530
- Fax
- (281) 778-9532
- NPI assigned
- Jul 21, 2021
- Last updated
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 83322 | TX | Primary |
Addresses
Primary practice location
4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205
Mailing address
6912 Stella Link Rd
Houston, TX 77025-1171
Phone (713) 597-0125
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
308 S Friendswood Dr
Suite 200
Friendswood, TX 77546-3989
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83322 | TX | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1720651326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6912 STELLA LINK RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251171",
"telephone_number": "713-597-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 RIVERSTONE BLVD STE 601",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595205",
"telephone_number": "281-778-9530",
"fax_number": "281-778-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "SHANTEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.