Active NPI
Shannon Horine, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1932405107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75352
- Practice address
- 4425 South Mopac Expressway
BLDG 3, Ste 502
Austin, TX 78735 - Phone
- (512) 766-7376
- NPI assigned
- Feb 4, 2011
- Last updated
- Dec 8, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75352 | TX | Primary |
Addresses
Primary practice location
4425 South Mopac Expressway
BLDG 3, Ste 502
Austin, TX 78735
Mailing address
4425 South Mopac Expressway
BLDG 3, Ste 502
Austin, TX 78735
Phone (512) 766-7376
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 |
|---|---|---|---|
| 75352 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1932405107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 SOUTH MOPAC EXPRESSWAY",
"address_2": "BLDG 3, STE 502",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "512-766-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 SOUTH MOPAC EXPRESSWAY",
"address_2": "BLDG 3, STE 502",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "512-766-7376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORINE",
"first_name": "SHANNON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-04",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Rachel Marie Hoppman, PA-C
- Andrea Hoppock, BCBA
- Olivia-Beth Horak, LCSW-S
- Allison Horan, MS, MPH
- Stephen J Hord, LMFT
- Horizon Health Austin, Inc. (Austin Lakes Hospital)
- Horizon Health Austin, Inc. (Austin Lakes Hospital)
- Horizon Health Austin, Inc. (Austin Lakes Hospital)
- Horizon Youth Counseling, PLLC
- Hormone Wellness Center of Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.