SHANE DELOS SANTOS (NPI# 1932235934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932235934 |
| Entity Type | Individual |
| Full Name | SHANE DELOS SANTOS |
| Credential | LPC |
| Practice Address |
302 E 24th St Bryan TX 77803-5303 |
| Mailing Address |
1504 Texas Ave. P.o. Box 4588 Bryan TX 77805-4588 |
| Practice Telephone | 9798226467 |
| Practice Fax Number | 9798219448 |
| Mailing Telephone | 9798226467 |
| Mailing Fax Number | 9798219448 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
19890 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LPC LICENSE | 19890 | 01 |
| Street Address |
302 E 24TH ST |
| City | BRYAN |
| State | TX |
| Zip Code | 77803-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093727828 | Sandra Yasskin | Specialist | 302 E 24th St, Bryan, TX 77803-5303 | 2006-08-12 |
| 1497162564 | Jennifer A Bryan | Physical Therapy Assistant | 302 E 24th St, Bryan, TX 77803-5303 | 2014-07-21 |
| 1376981654 | Jana Aguilar | Physical Therapist | 302 E 24th St, Bryan, TX 77803-5303 | 2013-06-10 |
| 1003156480 | Molly Naaden | Speech-Language Pathologist | 302 E 24th St, Bryan, TX 77803-5303 | 2013-02-22 |
| 1740507235 | Catherine Barrow | Occupational Therapist | 302 E 24th St, Bryan, TX 77803-5303 | 2010-04-23 |
| 1750615563 | Jennifer Lynn Cottrell | Physical Therapy Assistant | 302 E 24th St, Bryan, TX 77803-5303 | 2009-09-25 |
| 1730310343 | Maria Isabel Vazquez | Speech-Language Pathologist | 302 E 24th St, Bryan, TX 77803-5303 | 2009-07-30 |
| 1356528392 | Ashley Haynie | Occupational Therapist | 302 E 24th St, Bryan, Bryan, TX 77803-5303 | 2008-01-22 |
| 1336266048 | Antonia Drysdale | Dietitian, Registered | 302 E 24th St, Bryan, TX 77803-5303 | 2007-03-26 |
| 1578680112 | Elizabeth Roberts | Physical Therapist | 302 E 24th St, Bryan, TX 77803-5303 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902275878 | Dansby House Inc | Assisted Living Facility | 703 Dean St, Bryan, TX 77803 | 2015-09-21 |
| 1841600640 | Shs-sig Select 1, Inc. | In Home Supportive Care | 1135 N Earl Rudder Freeway, Ste 102, Bryan, TX 77803 | 2014-05-01 |
| 1093065393 | Virginia Clipson Johnson | Speech-Language Pathologist | 1401 W. Martin Luther King, Bryan, TX 77803 | 2012-09-13 |
| 1316235005 | H-e-b, Lp | Clinical Medical Laboratory | 1609 N Texas Ave, Bryan, TX 77803 | 2011-07-14 |
| 1114251550 | Kathy L Linnemeier | Occupational Therapist | 302 E 24th St., Bryan, TX 77803 | 2009-10-01 |
| 1457566622 | Scd Back & Joint Clinic, Ltd | Chiropractor | 200 East 24th Street, Suite B, Bryan, TX 77803 | 2007-05-11 |
| 1013010206 | Frances Harriett Kimbrough | Psychologist | 403 South Houston Avenue, Bryan, TX 77803 | 2006-09-06 |
| 1427034362 | Abc Chiropractic Pa | Chiropractor | 322 North Main St, Bryan, TX 77803 | 2005-12-22 |
| 1194112383 | Monica Menchaca | Specialist/Technologist | 3007 Highwood Ln, Bryan, TX 77803-0306 | 2015-04-25 |
| 1063777324 | Ryan Isaac Gilchrist | Technician | 2914 Indiana Ave, Bryan, TX 77803-1070 | 2012-07-11 |
| Find all providers in zip 77803 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788664 | Zachary Guram | Counselor | 3503 Curtis St # A, Bryan, TX 77802-2209 | 2020-07-27 |
| 1366072860 | Jenna Robinson | Counselor | 3028 Embers Loop, Bryan, TX 77808-3200 | 2020-01-23 |
| 1235699851 | Marc Klekar | Counselor | 117 Royal St, Bryan, TX 77801-4432 | 2019-03-20 |
| 1134572910 | Cynthia Ann Gosnell | Counselor | 1716 Briarcrest Dr Ste 305, Bryan, TX 77802-2777 | 2016-07-18 |
| 1063804342 | Noel Neely | Counselor | 4444 Carter Creek Pkwy Ste 204, Bryan, TX 77802-4469 | 2015-02-24 |
| 1013309483 | Kristen Wellman Tubbs | Counselor | 1770 Fickey Rd, Bryan, TX 77808-8364 | 2015-02-23 |
| 1326455510 | Shelly Mae Johnson | Counselor | 113 S Beech St, Bryan, OH 43506-1602 | 2014-07-19 |
| 1053569160 | Tricia Deanne Booth | Counselor | 2402 Broadmoor, #102 A, Bryan, TX 77802 | 2008-09-03 |
| 1295991958 | Cheryl Diane Mikeska | Counselor | 2813 Apple Creek Cir, Bryan, TX 77802-2904 | 2008-08-01 |
| 1265609952 | Daffney Kendra Watson-couch | Counselor | 1820 Greenfield Plz, Bryan, TX 77802-3408 | 2008-05-12 |
| Find all providers in BRYAN | ||||
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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.