Individual provider Active NPI

Susan A Barshop, LPC, RPT

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1073719670
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15701 Issued in TX
Practice address
18298 Meandering Way
Dallas, TX 75252-2765
Phone
(972) 867-7991
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15701 TX Primary

Addresses

Primary practice location

18298 Meandering Way
Dallas, TX 75252-2765

Mailing address

18298 Meandering Way
Dallas, TX 75252-2765
Phone (972) 867-7991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028003084 TX Practitioner - Mental Health Counselor 3971036054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15701TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC Professional CurrentSince Jun 30, 2024 Accepting new patients
The Shepherds New Pathways, LLC Professional CurrentSince Jun 30, 2024 Accepting new patients

Locations

3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073719670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18298 MEANDERING WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522765",
            "telephone_number": "972-867-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18298 MEANDERING WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522765",
            "telephone_number": "972-867-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSHOP",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.