Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shockie M Dersno, LPC

Individual provider Professional Counselor · NPI 1154961464

Shockie M Dersno, LPC is a Professional Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1840 N 95th Ave Ste 146
Phoenix, AZ 85037-4446
Phone: (404) 953-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-18672 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence 18672 (AZ)

Record details

NPI number1154961464
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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