Individual provider Active NPI

Kaci Shepherd, MS, LPC

  • Mental Health Counselor
  • Plano, TX
National Provider Identifier
1104062447
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60835 Issued in TX
Practice address
2415 Coit Rd Ste B
Plano, TX 75075-3758
Phone
(972) 596-7229
Fax
(972) 596-7410
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60835 TX Primary

Addresses

Primary practice location

2415 Coit Rd Ste B
Plano, TX 75075-3758

Mailing address

2415 Coit Rd Ste B
Plano, TX 75075-3758
Phone (972) 596-7229

Other names 1

  • Kaci Springer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
60835TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC CurrentSince Mar 18, 2024 Accepting new patients
Gearing Up Mental Health Past Accepting new patients
Gearing Up Counseling Centers, Inc. Past Accepting new patients

Locations

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

609 Rio Concho Dr
San Angelo, TX 76903
Phone (325) 245-4151

Organizations & group practices 3

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1104062447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753758",
            "telephone_number": "972-596-7229",
            "fax_number": "972-596-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753758",
            "telephone_number": "972-596-7229",
            "fax_number": "972-596-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KACI",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "60835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACI",
            "last_name": "SPRINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.