Individual provider Active NPI

Shani Leal, LPC

  • Professional Counselor
  • Cedar Hill, TX
National Provider Identifier
1790222495
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84212 Issued in TX
Practice address
1542 Forest Creek Dr
Cedar Hill, TX 75104-5719
Phone
(214) 810-1886
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X
Professional Counselor 101YP2500X 84212 TX Primary

Addresses

Primary practice location

1542 Forest Creek Dr
Cedar Hill, TX 75104-5719

Mailing address

1542 Forest Creek Dr
Cedar Hill, TX 75104-5719
Phone (214) 810-1886

Other practice location 1

2709 Meadow Gate Ln
Dallas, TX 75237-3211
Phone (469) 350-5480

Other practice location 2

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (469) 269-4027

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
84212TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1790222495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 FOREST CREEK DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045719",
            "telephone_number": "214-810-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 FOREST CREEK DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045719",
            "telephone_number": "214-810-1886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Meadow Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373211",
            "country_code": "US",
            "telephone_number": "469-350-5480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "469-269-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "SHANI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.