Active NPI
Jennifer R Shepherd, MA, LCMHC
- Mental Health Counselor
- Hickory, NC
National Provider Identifier
1194071043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7781
- Practice address
- 2166 Mosteller Estate Ave SE
Hickory, NC 28602-3468 - Phone
- (980) 241-6887
- NPI assigned
- Jul 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7761 | SC | |
| Professional Counselor | 101YP2500X | 0701010590 | VA | |
| Professional Counselor | 101YP2500X | 7781 | NC | |
| Mental Health Counselor | 101YM0800X | 7781 | NC | Primary |
| Professional Counselor | 101YP2500X | LPC011749 | GA |
Addresses
Primary practice location
2166 Mosteller Estate Ave SE
Hickory, NC 28602-3468
Mailing address
2166 Mosteller Estate Ave SE
Hickory, NC 28602-3468
Phone (980) 241-6887
Other names 1
- Jennifer R Greene
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260518003767 | NC | Order and Referring Only - Mental Health Counselor | 9335618404 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011749 | GA | MD | Professional Counselor |
| 0701010590 | VA | MD | Professional Counselor |
| 7781 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Solid Foundations Counseling Center | Past | Accepting new patients |
Interoperability endpoints
- jennifergreeneshepherd@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Community/Behavioral Health Agency
- Spindale, NC
- NPI 1083046254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1194071043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 MOSTELLER ESTATE AVE SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286023468",
"telephone_number": "980-241-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 MOSTELLER ESTATE AVE SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286023468",
"telephone_number": "980-241-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MA, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7761",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010590",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7781",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7781",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GREENE",
"middle_name": "R",
"credential": "MA, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.