JENESIS WYNETTE SHAW (NPI# 1780106278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780106278 |
| Entity Type | Individual |
| Full Name | JENESIS WYNETTE SHAW |
| Credential | LPC |
| Practice Address |
1546 S Brownlee Blvd Corpus Christi TX 78404-3142 |
| Mailing Address |
1802 Ennis Joslin Rd Apt 115 Corpus Christi TX 78412-4339 |
| Practice Telephone | 3618866963 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
65438 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1546 S BROWNLEE BLVD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619995818 | Arthur Alvarez | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2006-07-17 |
| 1952958423 | Benjamin Reece Robertson | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2019-08-20 |
| 1063930808 | Andrea Nicole Potter | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2017-08-31 |
| 1447781737 | Laura Robbins | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2017-03-27 |
| 1619323227 | Farrah Marlyn Hunt | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2016-05-12 |
| 1477769172 | Larry M. Dahl | Social Worker | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2007-05-16 |
| 1801819446 | Sheila Smith | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2006-07-25 |
| 1790704039 | Marcie Griffin | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2006-07-18 |
| 1598708828 | Betty Graham | Counselor | 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709318 | Linda Marie Miller | Counselor | 7202 Mansions Dr Unit K3, Corpus Christi, TX 78414-3711 | 2020-10-27 |
| 1043830516 | Desirae Contreras | Counselor | 4438 S Staples St, Corpus Christi, TX 78411-2602 | 2020-04-24 |
| 1225661903 | Brian Keith Permenter | Counselor | 2820 Spid Dr Ste 206, Corpus Christi, TX 78415-1823 | 2020-02-20 |
| 1467082594 | Amaka Agiriga | Counselor | 5409 Crossgate Dr S, Corpus Christi, TX 78413-4504 | 2020-01-16 |
| 1467098400 | Ashley Martin | Counselor | 2714 Vancouver Dr, Corpus Christi, TX 78414-3220 | 2019-11-25 |
| 1053962811 | Andrew Joseph Martinez | Counselor | 105 Waco St, Corpus Christi, TX 78401-3030 | 2019-09-24 |
| 1962064402 | Kelly L Demory Guevara | Counselor | 5151 Flynn Pkwy Ste 100, Corpus Christi, TX 78411-4318 | 2019-07-05 |
| 1790345213 | Marcella Rose Lockett | Counselor | 5410 Wooldridge Rd, Corpus Christi, TX 78413-3837 | 2019-06-17 |
| 1801453519 | Patricia Ann Gonzalez | Counselor | 5801 Patton St Ste 100, Corpus Christi, TX 78414-2458 | 2019-05-29 |
| 1700347143 | Saving Hope Counseling | Counselor | 1373 Gisbourne Ct, Corpus Christi, TX 78415-2033 | 2019-03-28 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on JENESIS WYNETTE SHAW.
| 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.