Barb Shepard Licensed Mental Health Counselor PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BARB SHEPARD LICENSED MENTAL HEALTH COUNSELOR PLLC

Practice address

7000 East Genesee Street
Building C
Fayetteville, NY 13066

Phone

(315) 313-4075

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Shepard, LMHCNPI 1053898890

Title

Owner

Phone

(315) 313-4075

Specialties & licenses 1

Addresses

Other names 1

• Barb Shepard, LMHC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara E Shepard, LMHC

  • Mental Health Counselor
  • Homer, NY
  • NPI 1053898890
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1053045005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HATHAWAY RD",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132141936",
            "telephone_number": "131-548-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EAST GENESEE STREET",
            "address_2": "BUILDING C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-313-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARB SHEPARD LICENSED MENTAL HEALTH COUNSELOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-313-4075",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barb Shepard, LMHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cynthia Leigh Bahn, M.S.W.
• Nicole Bailey, LMHC-D
• Kelly Gossard Baker, LMHC
• Natalie Bamerick, RN
• Evgenia Baranova, FNP-C
• Michelle Easterly Barber, MA, RD, CDN
• Thomas Barnello, LMSW
• George Barrett, PT
• Anthony Vincent Basile, PHARMD
• Michelle Kaplan Bass, OD

• Mental Health Counselor in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.