Shelby Chaddick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

76437 Issued in TX

Practice address

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162

Phone

(844) 824-8775

Fax

(281) 648-2200

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Alliance Counseling Works, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1619467305
  NPD
• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238

  Professional

  NPD

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1114683513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SANTA ROSITA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653411",
            "telephone_number": "512-763-2186",
            "fax_number": "512-727-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 RESEARCH FOREST DR STE 175",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804162",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 Joe DiMaggio Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653928",
            "country_code": "US",
            "telephone_number": "512-763-2186",
            "fax_number": "512-727-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADDICK",
        "first_name": "SHELBY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Spine Sports and Physical Medicine P.a.
• Centric Counseling PLLC
• Brittany Danette Cephus, APRN
• Hamilton Leonard Cessac III, N.P.
• Ashika Ann Chacko, MBBS
• Kaman Simon Chan, OTR
• Huzefa Yusuf Chandabhai
• Kristie Richardson Chandler, MD
• Preston James Chandler III, M.D.
• Krishna Chandra

• Professional Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.