Adrienne Shields, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3833 S Texas Ave Ste 104
Bryan, TX 77802-4000

Phone

(979) 315-4705

Fax

(979) 431-4963

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1083662480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 S TEXAS AVE STE 104",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024000",
            "telephone_number": "979-315-4705",
            "fax_number": "979-431-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S TEXAS AVE STE 104",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024000",
            "telephone_number": "979-315-4705",
            "fax_number": "979-431-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ADRIENNE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17668",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525537-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly K. Broline, M.D., P.a.
• Adi Shemesh, M.D PH.D
• Marjorie Shenkir, CRNA
• Sherry Sewrathan-Ghosh DO PA
• Sherwood Health Care Inc
• Akhilesh Shikaripur Mohan
• Shine a Light in the Dark
• Anna Katherine Shine, MA, LPC-A
• Nolan Daniel Shipman, M.D.
• Christina Patrice Shipp

• Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.