Shantik Alicia Cole, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75258 Issued in TX

Practice address

11841 Toppell TRL
Haslet, TX 76052-1509

Phone

(281) 546-3965

NPI assigned

Oct 18, 2019

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hillside Counseling LLC

  • Professional Counselor
  • Burleson, TX
  • NPI 1073736864
  NPD (past)

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1811530280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11841 TOPPELL TRL",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760521509",
            "telephone_number": "281-546-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11841 TOPPELL TRL",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760521509",
            "telephone_number": "281-546-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHANTIK",
        "middle_name": "ALICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mello-Dee Capps
• Stephanie Helen Carey, M.S., CCC-SLP
• Harper Carfa, M.S., LPC, NCC
• Madison Rae Chapman, DPT
• Tyronda Clark
• Todd Allen Colichia
• Jessica Collette, RDN,LDN
• Lilianna T Contreras
• Coppell Spine & Sports Rehab Limited Partnership
• Alexandre Costet, PT, DPT,

• Mental Health Counselor in Haslet, TX
• Providers in Haslet, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.