Individual provider Active NPI

Maria L Devon-Shepard, M.ED, CPC-I

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1124506779
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CI5317 Issued in NV
Practice address
4315 Helaman Ave
Las Vegas, NV 89120-1517
Phone
(702) 780-0822
NPI assigned
Aug 4, 2018
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Rehabilitation Practitioner 225400000X
Professional Counselor 101YP2500X CI5317 NV Primary

Addresses

Primary practice location

4315 Helaman Ave
Las Vegas, NV 89120-1517

Mailing address

522 Reliance Ave
Henderson, NV 89002-9676
Phone (702) 883-1494

Other practice location 1

2813 Merritt Ave
Las Vegas, NV 89102-6048
Phone (702) 883-1494 ext. 70289

Other practice location 2

7040 Laredo St
Las Vegas, NV 89117-3000
Phone (702) 331-4874

Other practice location 3

10349 Adrianna Ave
Las Vegas, NV 89129-6436
Phone (702) 883-1494 ext. 70289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CI5317NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TFK Wellness LLC PastSince Sep 5, 2023 Accepting new patients
Elements of Motivation LLC PastSince Sep 18, 2020 Accepting new patients
Claudia Barraza Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1124506779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 RELIANCE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029676",
            "telephone_number": "702-883-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HELAMAN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201517",
            "telephone_number": "702-780-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 Merritt Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891026048",
            "country_code": "US",
            "telephone_number": "702-883-1494 x70289",
            "fax_number": "702-564-5829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 Laredo St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891173000",
            "country_code": "US",
            "telephone_number": "702-331-4874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10349 Adrianna Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891296436",
            "country_code": "US",
            "telephone_number": "702-883-1494 x70289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVON-SHEPARD",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "M.ED, CPC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-04",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI5317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.