Individual provider Active NPI

Shan T Guillory, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1902302003
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79585 Issued in TX
Practice address
12335 Kingsride LN Ste 385
Houston, TX 77024-4116
Phone
(682) 557-2553
NPI assigned
Apr 5, 2018
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 79585 TX
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 79585 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 79585 TX Primary

Addresses

Primary practice location

12335 Kingsride LN Ste 385
Houston, TX 77024-4116

Mailing address

9526 Paloma Creek Dr
Tomball, TX 77375-8440
Phone (682) 557-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002324 TX Practitioner - Mental Health Counselor 9436507241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79585TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Shan T Guillory Counseling Group Professional Current Accepting new patients
Spindletop MHMR Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

Organizations & group practices 3

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1902302003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 PALOMA CREEK DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773758440",
            "telephone_number": "682-557-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 KINGSRIDE LN STE 385",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244116",
            "telephone_number": "682-557-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "SHAN",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79585",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "79585",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.