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

Individual provider Active NPI Professional Counselor · Las Vegas, NV

NPI 1124506779 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1124506779
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CI5317 (NV)
Practice address
4315 Helaman Ave
Las Vegas, NV 89120-1517
Phone
(702) 780-0822
NPI assigned
Aug 4, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CI5317NVMDProfessional Counselor

Practice roles

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

Specialties & licenses

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

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

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Professional Counselor in Nevada

Sources for this page

Verify at the official NPI Registry.