Shelly Jean Coufal, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80271 Issued in TX

Practice address

6750 Victoria Ave Ste 3
College Station, TX 77845-8216

Phone

(936) 662-6125

Fax

(979) 227-7694

NPI assigned

Jan 7, 2021

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fulfilled Journey Counseling, PLLC

  • Professional Counselor
  • College Station, TX
  • NPI 1578156360
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1184212839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 VICTORIA AVE STE 3",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458216",
            "telephone_number": "936-662-6125",
            "fax_number": "979-227-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 VICTORIA AVE STE 3",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458216",
            "telephone_number": "936-662-6125",
            "fax_number": "979-227-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUFAL",
        "first_name": "SHELLY",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Alberto Cortez, RD/LD
• Monique Cortez, MD
• Costco Wholesale Corporation (Costco Hearing Aid #1614)
• Costco Wholesale Corporation (Costco Pharmacy #1614)
• Costco Wholesale Corporation (Costco Optical #1614)
• Scott Coulson, MD
• Bill Ray Covington, M.D.
• Jacquelyn Rose Covington, M.D.
• Katelyn Cox, LM
• Mandy Lynn Cox, PAC

• Professional Counselor in College Station, TX
• Providers in College Station, 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 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.