Individual provider Active NPI

Shanna Lewis, MED, LPC, NCC

  • Psychologist
  • Missouri City, TX
National Provider Identifier
1962015370
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
78889 Issued in TX
Practice address
1406 Lexington Blvd
Missouri City, TX 77489-2174
Phone
(346) 241-1416
Fax
(346) 239-1415
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 78889 TX Primary

Addresses

Primary practice location

1406 Lexington Blvd
Missouri City, TX 77489-2174

Mailing address

1406 Lexington Blvd
Missouri City, TX 77489-2174
Phone (346) 241-1416

Other names 1

  • Ms. Shanna Lewis Dominguez Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shanna@dominguezpsychotherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1406 Lexington Blvd
Missouri City, TX 77489-2174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
78889TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dominguez Dream Corporation CurrentSince Jan 2, 2022 Accepting new patients
David M. Dranetz, M.D., P.L.L.C. PastSince Jan 24, 2021 Accepting new patients

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1962015370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892174",
            "telephone_number": "346-241-1416",
            "fax_number": "346-239-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892174",
            "telephone_number": "346-241-1416",
            "fax_number": "346-239-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHANNA",
        "name_prefix": "Ms.",
        "credential": "MED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "78889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanna@dominguezpsychotherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1406 Lexington Blvd",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774892174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "LEWIS DOMINGUEZ",
            "prefix": "MS.",
            "credential": "LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.