The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bryan and Texas

80 active clinicians are listed under Counselor - Professional with a practice address in Bryan, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bryan

0% of these 80 clinicians have the CMS telehealth indicator.

7.5% of these 80 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-03

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 19890

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES TX 19890

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Lpc License

19890 (TX)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events

📍

Updated Practice Location May 03, 2025

Registered at 1209 EBBTIDE CV, BRYAN, TX 778458814 (Tel: 9792208625)

📍

Updated Business Mailing Address May 03, 2025

Registered at 1209 EBBTIDE CV, COLLEGE STATION, TX 778458814 (Tel: 9792208625)

👤

Provider Name / Credentials Updated May 03, 2025

Recorded as SHANE BRUNE, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2025

Counselor (license number reported to NPPES: TX 19890)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 08, 2007

Registered at 302 E 24TH ST, BRYAN, TX 778035303 (Tel: 9798226467)

📍

Business Mailing Address (Initial Record) July 08, 2007

Registered at 1504 TEXAS AVE., P.O. BOX 4588, BRYAN, TX 778054588 (Tel: 9798226467)

👤

Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SHANE DELOS SANTOS, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: TX 19890)

🟢

Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932235934

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 26, 2007

Last Update: May 03, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1209 Ebbtide Cv

College Station, TX 778458814

Phone: 9792208625

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.