Shannon Denise Zander, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17204 Issued in TX

Practice address

5020 Lakeland Cir
Suite B
Waco, TX 76710-2996

Phone

(254) 265-5044

Fax

(254) 399-9290

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keith C. Warren, PH.D., P.C.

  • Psychologist
  • Waco, TX
  • NPI 1811178445
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1942427448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 LAKELAND CIR",
            "address_2": "SUITE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102996",
            "telephone_number": "254-265-5044",
            "fax_number": "254-399-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 LAKELAND CIR",
            "address_2": "SUITE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102996",
            "telephone_number": "254-265-5044",
            "fax_number": "254-399-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDER",
        "first_name": "SHANNON",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145797003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy F Young Jr., SLP-A
• Abreigh Ali Youngblood, OTD, OTR/L
• Michelle Zamarron, BT
• Laura Zambrano-Vazquez, PH.D.
• Kimberly Shaw Zander, L.P.C.
• Rosa Linda Zapata
• Anita Carol Zaricor, OTR
• Guido Emmett Zecca, MD
• Jazmin Zeledon-Morales, FNP-BC
• Zelevie Health of Waco LLC

• Professional Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.