Active NPI
Shamshad Haider, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1104182153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81047
- Practice address
- 4230 LBJ Fwy Ste 210
Dallas, TX 75244-5844 - Phone
- (214) 454-7860
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 66143 | TX | |
| Professional Counselor | 101YP2500X | 81047 | TX | Primary |
Addresses
Primary practice location
4230 LBJ Fwy Ste 210
Dallas, TX 75244-5844
Mailing address
1801 Oak Creek LN Apt B
Bedford, TX 76022-7912
Phone (214) 454-7860
Other practice location 1
9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000
Other names 1
- Mr. Shad Haider
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418001238 | TX | Practitioner - Mental Health Counselor | 9931523990 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66143 | TX | MD | Pharmacist |
| 81047 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Restoration Counseling LLC | Professional | Current | Accepting new patients |
| Alaniz Counseling and Behavioral Center, P.C. | Professional | Current | Accepting new patients |
| Vcounselors PLLC | Professional | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Bright Futures Family Counseling Center | Past | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990
17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116
Interoperability endpoints
- shamshadhaider@tdh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1811288731
Professional, TX
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Counselor
- Plano, TX
- NPI 1194952176
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1104182153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 OAK CREEK LN APT B",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760227912",
"telephone_number": "214-454-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 LBJ FWY STE 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445844",
"telephone_number": "214-454-7860"
}
],
"practiceLocations": [
{
"address_1": "9401 Southwest Fwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770741407",
"country_code": "US",
"telephone_number": "713-970-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAIDER",
"first_name": "SHAMSHAD",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66143",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAD",
"last_name": "HAIDER",
"prefix": "MR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.