Active NPI
Shade Marlei Golden, LPC
- Professional Counselor
- Midlothian, TX
National Provider Identifier
1962914564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71747
- Practice address
- 1301 Columbia Dr
Midlothian, TX 76065-3808 - Phone
- (512) 525-9443
- NPI assigned
- Nov 4, 2017
- 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 | 71747 | TX | Primary |
Addresses
Primary practice location
1301 Columbia Dr
Midlothian, TX 76065-3808
Mailing address
1301 Columbia Dr
Midlothian, TX 76065-3808
Phone (512) 525-9443
Other practice location 1
1301 Columbia Dr
Midlothian, TX 76065-3808
Phone (512) 525-9443
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 |
|---|---|---|---|
| 71747 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509753600000",
"number": "1962914564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 COLUMBIA DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653808",
"telephone_number": "512-525-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 COLUMBIA DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653808",
"telephone_number": "512-525-9443"
}
],
"practiceLocations": [
{
"address_1": "1301 Columbia Dr",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "TX",
"postal_code": "760653808",
"country_code": "US",
"telephone_number": "512-525-9443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDEN",
"first_name": "SHADE",
"middle_name": "MARLEI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-04",
"last_updated": "2017-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.