Individual provider Active NPI

Janet Renee Shepherd

  • Mental Health Counselor
  • New Castle, PA
National Provider Identifier
1245988153
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002569 Issued in OH
Practice address
143 E Wallace Ave
New Castle, PA 16101-2453
Phone
(724) 654-9555
Fax
(724) 498-0976
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2002569 OH Primary

Addresses

Primary practice location

143 E Wallace Ave
New Castle, PA 16101-2453

Mailing address

143 E Wallace Ave
New Castle, PA 16101-2453
Phone (724) 654-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250707004000 PA Practitioner - Mental Health Counselor 3870007404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2002569OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angelus Therapeutic Services Inc CurrentSince Mar 13, 2022 Accepting new patients
Human Services Center CurrentSince Jun 10, 2025 Accepting new patients

Locations

130 W North St
New Castle, PA 16101
Phone (724) 658-3578

143 E Wallace Ave
New Castle, PA 16101
Phone (724) 654-9555

401 N Jefferson St
New Castle, PA 16101
Phone (724) 654-9555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1245988153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E WALLACE AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012453",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E WALLACE AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012453",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JANET",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.