Shoal Creek Counseling, P.L.L.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

14192 Issued in TX

Legal business name

SHOAL CREEK COUNSELING, P.L.L.C.

Practice address

8307 Shoal Creek Blvd
Austin, TX 78757-7525

Phone

(512) 619-4966

Fax

(512) 451-0090

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Shelley Ann Graham, PH.D., L.P.C.

Title

Counselor/Partner

Phone

(512) 619-4966

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank J Darby, LPC LSOTP

  • Professional Counselor
  • Austin, TX
  • NPI 1811137292
  NPD (past)
• Shelly Graham, PHD

  • Professional Counselor
  • Austin, TX
  • NPI 1477725695
  NPD (past)
• Betty Ann Miles, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1417083635
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1831377076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577525",
            "telephone_number": "512-619-4966",
            "fax_number": "512-451-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577525",
            "telephone_number": "512-619-4966",
            "fax_number": "512-451-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOAL CREEK COUNSELING, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR/PARTNER",
        "authorized_official_telephone_number": "512-619-4966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "14192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikhita Rose Shiwach, NP
• Ruslan Shkaradyuk, MS, RD
• Daniel Paul Shmorhun, M.D.
• Hayder Shmose, RPH
• SHN Care Transportation
• Shoal Creek Pharmacy Operations LLC
• Jakeitha Shoemaker
• Navkiran K Shokar, MD
• Alina D. Sholar, M.D.
• Kelly Shook, PA

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.