Jacqueline Sheppard, LPC-S, NCC, MSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-21823 Issued in AZ

Practice address

3131 E 2ND St
Tucson, AZ 85716-4209

Phone

(520) 477-8697

Fax

(520) 844-1676

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1124783592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 E DESERT STEPPES DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104208",
            "telephone_number": "520-445-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E 2ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164209",
            "telephone_number": "520-477-8697",
            "fax_number": "520-844-1676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 E Speedway Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125305",
            "country_code": "US",
            "telephone_number": "520-477-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "LPC-S, NCC, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-17145",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Shepard, LMT
• Robin Shepard, FNP-BC
• Stephanie Ann Shepherd, LCSW
• Cody Sheppard
• Irma Sheppard, MA LPC
• Joseph E Sheppard, MD
• Ahmed Sher
• Phyllis K Sher, MD
• Raymond Joseph Sherban, OD
• Sheridan Childrens Healthcare Services of Arizona, Inc.

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

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