Individual provider Active NPI

Shawn Lee Reagan, LPCI

  • Mental Health Counselor
  • Pipe Creek, TX
National Provider Identifier
1912452491
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74242 Issued in TX
Practice address
2121 Hidden Valley Rd
Pipe Creek, TX 78063-6153
Phone
(830) 431-0724
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 74242 TX Primary
Professional Counselor 101YP2500X 74242 TX

Addresses

Primary practice location

2121 Hidden Valley Rd
Pipe Creek, TX 78063-6153

Mailing address

2121 Hidden Valley Rd
Pipe Creek, TX 78063-6153
Phone (830) 431-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240215004460 TX Practitioner - Clinical Social Worker 4082058243 Reassigns benefits to 1 organization
I20241111000260 TX Practitioner - Mental Health Counselor 4082058243 Practice locations: Pipe Creek, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 Hidden Valley Rd
Pipe Creek, TX 78063-6153
Phone (830) 431-0724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74242TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy in the Woods Mental Health CurrentSince May 19, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Feb 5, 2024 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

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.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1912452491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HIDDEN VALLEY RD",
            "city": "PIPE CREEK",
            "state": "TX",
            "postal_code": "780636153",
            "telephone_number": "830-431-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HIDDEN VALLEY RD",
            "city": "PIPE CREEK",
            "state": "TX",
            "postal_code": "780636153",
            "telephone_number": "830-431-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "SHAWN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74242",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pipe Creek, TX

Sources for this page

Verify at the official NPI Registry.