MS. CARRON LOU SHELLENBERGER (NPI# 1699835462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699835462 |
| Entity Type | Individual |
| Full Name | MS. CARRON LOU SHELLENBERGER |
| Credential | LPC |
| Practice Address |
1111 W 12th Street Odessa TX 79763 |
| Mailing Address |
401 E Illinois Ste 400 Midland TX 79701 |
| Practice Telephone | 4323333265 |
| Practice Fax Number | 4325703346 |
| Mailing Telephone | 4325703333 |
| Mailing Fax Number | 4325703346 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
15336 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1111 W 12TH STREET |
| City | ODESSA |
| State | TX |
| Zip Code | 79763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073614624 | Permian Basin Community Centers for Mhmr | Psychiatry & Neurology | 1111 W 12th Street, Odessa, TX 79763 | 2006-09-26 |
| 1043381924 | Permian Basin Community Centers for Mhmr | Psychiatry & Neurology | 1111 W 12th Street, Odessa, TX 79763 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376171397 | Faith Steps Counseling Pllc | Counselor | 835 Tower Dr Ste 9, Odessa, TX 79761-4251 | 2020-03-27 |
| 1083183636 | Amy Jeffries Riddell | Counselor | 213 W Mason St Ste B, Odessa, MO 64076-1262 | 2018-11-13 |
| 1053817254 | Teresa Carmel Mckenna | Counselor | 9105 Shadow Pond Ct, Odessa, FL 33556-3148 | 2018-04-05 |
| 1699045302 | Harold Wayne Wallace | Counselor | 21 Wallbrook Trl, Odessa, TX 79762-5213 | 2012-01-11 |
| 1003148453 | Counseling Management Inc. | Counselor | 1901 E 37th St, Ste.106, Odessa, TX 79762-6201 | 2010-02-10 |
| 1982800843 | Jodie Lynn Luster | Counselor | 16107 Belle Meade Blvd, Odessa, FL 33556-3309 | 2007-06-26 |
| 1699983163 | Roberta Beth Jones | Counselor | 1526 North Grandview Ave, Odessa, TX 79761 | 2007-05-18 |
| 1578783387 | Dixie Lynn Jones | Counselor | 6010 E Highway 191 Ste 120, Odessa, TX 79762-5069 | 2007-04-26 |
| 1386713816 | Jeanne A Dubois | Counselor | 6010 E Highway 191, Suite 120, Odessa, TX 79762-5070 | 2006-11-07 |
| 1316032790 | Elma Jeanenne Nunley | Counselor | 2445 E. 11th St., Odessa, TX 79761 | 2006-10-03 |
| Find all providers in ODESSA | ||||
Please comment or provide details below to improve the information on MS. CARRON LOU SHELLENBERGER.
| 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.