Individual provider Active NPI

Niki Shah

  • Counselor
  • Dallas, TX
National Provider Identifier
1902720188
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
74248 Issued in TX
Practice address
8111 Lyndon B Johnson Fwy
Dallas, TX 75251-1313
Phone
(469) 425-9491
NPI assigned
Aug 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 74248 TX Primary

Addresses

Primary practice location

8111 Lyndon B Johnson Fwy
Dallas, TX 75251-1313

Mailing address

832 Willow Stream Dr
Lavon, TX 75166-2207

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MyAvatar Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1902720188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WILLOW STREAM DR",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751662207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "469-425-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "74248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MyAvatar",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8111 Lyndon B Johnson Fwy",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752511313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.