Active NPI
Shunda Denise Stanley, LMSW
- Counselor
- Wichita Falls, TX
National Provider Identifier
1750047197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 39000
- Practice address
- 207 Broad St
Wichita Falls, TX 76301-2219 - Phone
- (940) 500-4903
- Fax
- (940) 500-4906
- NPI assigned
- Nov 10, 2021
- Last updated
- Nov 10, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39000 | TX | Primary |
Addresses
Primary practice location
207 Broad St
Wichita Falls, TX 76301-2219
Mailing address
Texas Treatment Services
207 Broad Street
Wichita Falls, TX 76301-2219
Phone (940) 500-4903
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 |
|---|---|---|---|
| 39000 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1750047197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TEXAS TREATMENT SERVICES",
"address_2": "207 BROAD STREET",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012219",
"telephone_number": "940-500-4903",
"fax_number": "940-500-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 BROAD ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012219",
"telephone_number": "940-500-4903",
"fax_number": "940-500-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "SHUNDA",
"middle_name": "DENISE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "39000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.