Active NPI
Shanell Peebles
- Counselor
- Devon, PA
National Provider Identifier
1811771363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 235 W Lancaster Ave
Devon, PA 19333-1560 - Phone
- (484) 654-9953
- NPI assigned
- Aug 23, 2023
- Last updated
- Aug 23, 2023
- 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 | NU | Primary |
Addresses
Primary practice location
235 W Lancaster Ave
Devon, PA 19333-1560
Mailing address
235 W Lancaster Ave
Devon, PA 19333-1560
Phone (484) 654-9953
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1811771363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W LANCASTER AVE",
"city": "DEVON",
"state": "PA",
"postal_code": "193331560",
"telephone_number": "484-654-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W LANCASTER AVE",
"city": "DEVON",
"state": "PA",
"postal_code": "193331560",
"telephone_number": "484-654-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEBLES",
"first_name": "SHANELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Devon, PA
- Shalini Patel, DMD
- Shivani Patel, NP-C
- Patient First Pennsylvania Medical Group (Patient First Devon)
- Patient First Pennsylvania Medical Group PLLC
- Paul Kesselman, Psy.D. LLC
- Eleonor Pepito, P.T.
- Candis Leigh Perlman, MA, LPC, ATR-BC
- Philadelphia Functional Nutrition, LLC
- Mayra Gloria Picos-Lee
- Ashwini B Pilla, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.