Individual provider Active NPI

Shante Jones, LPC

  • Professional Counselor
  • Duncanville, TX
National Provider Identifier
1821551391
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84241 Issued in TX
Practice address
777 E Wheatland Rd Ste 101
Duncanville, TX 75116-4918
Phone
(972) 283-6799
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 84241 TX Primary

Addresses

Primary practice location

777 E Wheatland Rd Ste 101
Duncanville, TX 75116-4918

Mailing address

405 Partridge Cir
Desoto, TX 75115-7147
Phone (214) 448-7724

Other practice location 1

1100 Stone Rd Ste 103
Kilgore, TX 75662-5494
Phone (214) 448-7724

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412004298 TX Practitioner - Mental Health Counselor 5395184154 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84241TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health and Veterans Counseling CurrentSince Jan 11, 2025 Accepting new patients
New Zenith Counseling Services Professional CurrentSince Oct 5, 2025 Accepting new patients
Hamilton Counseling and Consulting, PLLC Professional CurrentSince Mar 28, 2024 Accepting new patients

Locations

777 E Wheatland Rd
Ste 101
Duncanville, TX 75116
Phone (972) 283-5103

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1821551391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PARTRIDGE CIR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157147",
            "telephone_number": "214-448-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WHEATLAND RD STE 101",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164918",
            "telephone_number": "972-283-6799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Stone Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kilgore",
            "state": "TX",
            "postal_code": "756625494",
            "country_code": "US",
            "telephone_number": "214-448-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.