Tammy Sharie Shepard, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2008023010 Issued in MO

Practice address

875 St. Hwy VV
Kennett, MO 63822-6382

Phone

(573) 888-5925

NPI assigned

Aug 3, 2008

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Berthelot Counseling

  • Mental Health Counselor
  • Dexter, MO
  • NPI 1154541746
  NPD (past)

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1194981704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 INDEPENDENCE AVE",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571316",
            "telephone_number": "573-559-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ST. HWY VV",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638226382",
            "telephone_number": "573-888-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S Walnut St",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MO",
            "postal_code": "638412144",
            "country_code": "US",
            "telephone_number": "573-624-9383",
            "fax_number": "573-624-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "TAMMY",
        "middle_name": "SHARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008023010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Shaver
• Linda Shaver
• Tanner Reed Shaver
• Brian Shearer, AA
• Cynthia Jane Shepard
• Susan Louise Shipp
• Amber Brooke Short
• Melissa Dawn Shortnacy
• Alyson Sieben-Grimes
• Beverly Kay Siegler

• Professional Counselor in Kennett, MO
• Providers in Kennett, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.