Active NPI
Shante Moreland
- Mental Health Counselor
- Spring, TX
National Provider Identifier
1831734854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 23935 Beaverwood Dr
Spring, TX 77373-5804 - Phone
- (936) 632-5439
- NPI assigned
- Nov 13, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
23935 Beaverwood Dr
Spring, TX 77373-5804
Mailing address
539 S Chestnut St Ste 300
Lufkin, TX 75901-4885
Phone (281) 706-1266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-2978377 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SM Foundation LLC | Current | Accepting new patients | |
| New Perspective | Current | Accepting new patients |
Locations
539 S Chestnut St
Ste 300
Lufkin, TX 75901
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Spring, TX
- NPI 1376124362
-
- Assisted Living Facility
- Lufkin, TX
- NPI 1265015283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1831734854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 S CHESTNUT ST STE 300",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759014885",
"telephone_number": "281-706-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23935 BEAVERWOOD DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773735804",
"telephone_number": "936-632-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELAND",
"first_name": "SHANTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27-2978377",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.