Hallie Sheade, PHD, LPC-S, RPT-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67848 Issued in TX

Practice address

16151 Highway 377 S
Fort Worth, TX 76126-5544

Phone

(682) 334-3784

NPI assigned

Feb 7, 2014

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 29, 2024 through Jan 29, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Equine Connection Counseling, PLLC

  • Community/Behavioral Health Agency
  • Cleburne, TX
  • NPI 1013331255
  NPD Authorized official
• Steps With Horses

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
  • NPI 1346887411
  NPD Authorized official

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1194149336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122692",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761212692",
            "telephone_number": "682-334-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 HIGHWAY 377 S",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761265544",
            "telephone_number": "682-334-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEADE",
        "first_name": "HALLIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-S, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cornelia Shaw, DO
• Shuntoyia Yshay Shaw, PBT
• William J Shaw IV, PA-C
• Kathleen R Shea, LCSW
• Michael P Shea, O.D.
• Kimberly A Sheafer
• Christine Shearer
• Kimberly Jean Shearer, RNFA. CNOR
• Kimberly Sheehan
• Jennifer Lee Sheffield, R.N.

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.