Active NPI
Shaun Elizabeth Hoffman, LPC-MHSP
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1831699602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0000004167
- Practice address
- 311 Directors Dr
Knoxville, TN 37923 - Phone
- (865) 481-3972
- NPI assigned
- Feb 17, 2018
- 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 | LPC0000004167 | TN | Primary |
Addresses
Primary practice location
311 Directors Dr
Knoxville, TN 37923
Mailing address
1534 Greenbrier Ridge Way
Apt 1502
Knoxville, TN 37923-3397
Phone (865) 409-1503
Other practice location 1
1534 Greenbrier Ridge Way
Apt 1502
Knoxville, TN 37923-3397
Phone (865) 409-1503
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q034551 | Medicaid | TN | |
| Q035749 | Medicaid | TN |
Other names 1
- Shaun Elizabeth Mayer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000004167 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelot Care Centers, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Nashville, TN
- NPI 1831397645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1831699602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 GREENBRIER RIDGE WAY",
"address_2": "APT 1502",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233397",
"telephone_number": "865-409-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 DIRECTORS DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37923",
"telephone_number": "865-481-3972"
}
],
"practiceLocations": [
{
"address_1": "1534 Greenbrier Ridge Way",
"address_2": "APT 1502",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379233397",
"country_code": "US",
"telephone_number": "865-409-1503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "SHAUN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-17",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC0000004167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q034551",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q035749",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUN",
"last_name": "MAYER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.