Active NPI
Shannan Blum, MS
- Marriage & Family Therapist
- The Woodlands, TX
National Provider Identifier
1972863744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT203219
- Practice address
- 26113 Oak Ridge Dr Ste a
The Woodlands, TX 77380-3493 - Phone
- (713) 897-9989
- Fax
- (888) 787-9709
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT203219 | TX | Primary |
Addresses
Primary practice location
26113 Oak Ridge Dr Ste a
The Woodlands, TX 77380-3493
Mailing address
26113 Oak Ridge Dr Ste a
The Woodlands, TX 77380-3493
Phone (713) 897-9989
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT203219 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Woodlands Recovery and Wellness | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- The Woodlands, TX
- NPI 1497278998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1972863744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26113 OAK RIDGE DR STE A",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803493",
"telephone_number": "713-897-9989",
"fax_number": "888-787-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26113 OAK RIDGE DR STE A",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803493",
"telephone_number": "713-897-9989",
"fax_number": "888-787-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "SHANNAN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "LMFT203219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.