Active NPI
Shannon M. Greene, PH.D., LMFT
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1982895868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT4900
- Practice address
- 2306 Lake Austin Blvd
Austin, TX 78703-4546 - Phone
- (512) 775-1908
- NPI assigned
- Aug 6, 2007
- Last updated
- Oct 14, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT4900 | TX | Primary |
Addresses
Primary practice location
2306 Lake Austin Blvd
Austin, TX 78703-4546
Mailing address
PO Box 93042
Austin, TX 78709-3042
Phone (512) 775-1908
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT4900 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1982895868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93042",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787093042",
"telephone_number": "512-775-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 LAKE AUSTIN BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034546",
"telephone_number": "512-775-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "SHANNON",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "LMFT4900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Andrew Greene, LCSW, LCDC
- Diane Y. Greene, LPC
- Julia Greene, M.ED, BCBA, LBA
- Kai Jason Greene, CCC SLP # 12045275
- Seth Amos Greene
- Vicki S. Greene, RN, FNP-C
- Laura Lynn Greenlee, PHD, NCC, LPCS
- Emily Strassner Greenspahn, PH.D.
- Greenstaff Home Care (Greenstaff Home Care - Austin)
- Andrew Scott Greenstone, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.