Active NPI
Shanna Kaye Nasche, LPC
- Professional Counselor
- Highland Village, TX
National Provider Identifier
1831377316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61102
- Practice address
- 3215 Shore View Dr
Highland Village, TX 75077-6455 - Phone
- (214) 616-3103
- NPI assigned
- Feb 6, 2008
- Last updated
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61102 | TX | Primary |
Addresses
Primary practice location
3215 Shore View Dr
Highland Village, TX 75077-6455
Mailing address
3215 Shore View Dr
Highland Village, TX 75077-6455
Phone (214) 616-3103
Other names 1
- Shanna Kaye Longley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 25, 2024 through Jan 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61102 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1831377316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 SHORE VIEW DR",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750776455",
"telephone_number": "214-616-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 SHORE VIEW DR",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750776455",
"telephone_number": "214-616-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASCHE",
"first_name": "SHANNA",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNA",
"last_name": "LONGLEY",
"middle_name": "KAYE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Highland Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.