Individual provider Active NPI

Shamshad Haider, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1104182153
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81047 Issued in TX
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

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
I20240418001238 TX Practitioner - Mental Health Counselor 9931523990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66143TXMDPharmacist
81047TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Restoration Counseling LLC Professional CurrentSince Apr 17, 2020 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Aug 9, 2025 Accepting new patients
Vcounselors PLLC Professional CurrentSince Aug 9, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.