MRS. SHANNON LEA PECK MS LPC NPI 1457466922

NPI Information

NPI: 1457466922
Provider Name: MRS. SHANNON LEA PECK, MS LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3030 NACOGDOCHES RD STE 101
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 826-9599
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MRS. Shannon Lea Peck, MS LPC is a professional counselor in San Antonio, TX. MRS. Shannon Lea Peck, MS LPC NPI is 1457466922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3030 NACOGDOCHES RD STE 101
SAN ANTONIO, TX
ZIP 78217-502
Phone: (210) 826-9599
Fax: (210) 826-9828

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	13772	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	027879801	MEDICAID	TEXAS
2	A046244	OTHER	TEXAS	VALUE OPTIONS
3	3479LC	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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