Individual provider Active NPI

Shaun Elizabeth Hoffman, LPC-MHSP

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1831699602
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000004167 Issued in TN
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

Updated by the provider on Jun 1, 2018

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 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

IdentifierTypeStateIssuer
Q034551MedicaidTN
Q035749MedicaidTN

Other names 1

  • Shaun Elizabeth Mayer Former name

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

LicenseStateTypeSpecialty
LPC0000004167TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camelot Care Centers, LLC PastSince Mar 17, 2024 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.

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.

Verify at the official NPI Registry.