Active NPI
Shanna Kathleen Staples
- Mental Health Counselor
- Rehoboth Beach, DE
National Provider Identifier
1922669308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000884
- Practice address
- 19606 Coastal Hwy
Rehoboth Beach, DE 19971-8596 - Phone
- (302) 294-6950
- NPI assigned
- Jun 26, 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 | PC-0000884 | DE | Primary |
Addresses
Primary practice location
19606 Coastal Hwy
Rehoboth Beach, DE 19971-8596
Mailing address
9838 Southpointe Xing
Seaford, DE 19973-8597
Phone (443) 669-4066
Other practice location 1
700 Barksdale Rd Ste 6
Newark, DE 19711-3260
Phone (302) 294-6950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000884 | DE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Window to Wellness, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1922669308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9838 SOUTHPOINTE XING",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199738597",
"telephone_number": "443-669-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19606 COASTAL HWY",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199718596",
"telephone_number": "302-294-6950"
}
],
"practiceLocations": [
{
"address_1": "700 Barksdale Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197113260",
"country_code": "US",
"telephone_number": "302-294-6950",
"fax_number": "302-533-5246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPLES",
"first_name": "SHANNA",
"middle_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.