MS. SHANNON L DEITCH (NPI# 1639592843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639592843 |
| Entity Type | Individual |
| Full Name | MS. SHANNON L DEITCH |
| Credential | LPC |
| Practice Address |
105 N Gordon St Suite 202 Alvin TX 77511-2718 |
| Mailing Address |
3913 Spring Circle Dr E Pearland TX 77584-9385 |
| Practice Telephone | 2815850000 |
| Practice Fax Number | 2815850080 |
| Mailing Telephone | 2817886807 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 66956 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
66956 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029647 | Shannon Leigh Deitch | Optometrist | 13900 E Us Highway 40 Ste A, Independence, MO 64055-5877 | 2018-07-09 |
| Street Address |
105 N GORDON ST SUITE 202 |
| City | ALVIN |
| State | TX |
| Zip Code | 77511-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245975 | Chau T Nguyen | Pharmacist | 400 S. Bypass 35, Alvin, TX 77511 | 2020-11-02 |
| 1215548235 | Roozbeh Ghasemi | Dentist | 2101 Alvin Bypass #106, Alvin, TX 77511 | 2020-08-13 |
| 1992287320 | Tamra Sanson | Registered Nurse | 2800 Mustang Rd Apt 403, Alvin, TX 77511 | 2018-09-01 |
| 1265930101 | National Vision, Inc. | Technician/Technologist | 1240 Fm 1462, Ste 300, Alvin, TX 77511 | 2018-01-25 |
| 1275050643 | Hannah Corena Kenney | Specialist/Technologist | 122 Leisure Lane, Alvin, TX 77511 | 2017-08-27 |
| 1700260684 | Alvin Dialysis Renal | Clinic/Center | 101 East House Street, Alvin, TX 77511 | 2015-07-10 |
| 1740682715 | Alvin Family Dental | Dentist | 173 Tovrea Rd., Ste. E., Alvin, TX 77511 | 2014-09-22 |
| 1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
| 1235577057 | Veruschka Kristel Rivera Colon | Speech-Language Pathologist | 601 E Clements St, Alvin, TX 77511 | 2013-06-14 |
| 1780981555 | Brazoria Urgent Care LLC | Internal Medicine | 2300 Highway 35, Suite A, Alvin, TX 77511 | 2011-02-14 |
| Find all providers in zip 77511 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982901393 | Domonick F Crane | Counselor | 1612 Callaway Dr, Alvin, TX 77511-3743 | 2011-02-21 |
| 1184762841 | Sandra Suzanne Jones | Counselor | 204 W Coombs St, Alvin, TX 77511-2827 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.