Individual provider Active NPI

Shauna Holder, M. ED., LPC

  • Professional Counselor
  • League City, TX
National Provider Identifier
1902258924
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83206 Issued in TX
Practice address
2640 E League City Pkwy Ste 104-4128
League City, TX 77573-3368
Phone
(361) 489-1981
Fax
(361) 214-3768
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 83206 TX Primary

Addresses

Primary practice location

2640 E League City Pkwy Ste 104-4128
League City, TX 77573-3368

Mailing address

8806 N Navarro St Ste 600-231
Victoria, TX 77904-1427
Phone (361) 489-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
83206TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raul R Capitaine Mdpa Past Accepting new patients
Physicians Referral Service PastSince Jul 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1902258924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 N NAVARRO ST STE 600-231",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041427",
            "telephone_number": "361-489-1981",
            "fax_number": "361-214-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY STE 104-4128",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "361-489-1981",
            "fax_number": "361-214-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "SHAUNA",
        "credential": "M. ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.