Individual provider Active NPI

Shatara Bonds

  • Professional Counselor
  • Rockwall, TX
National Provider Identifier
1265260202
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
95655 Issued in TX
Practice address
1010 W Ralph Hall Pkwy Ste 112
Rockwall, TX 75032-6690
Phone
(972) 865-8782
Fax
(972) 499-6935
NPI assigned
Jul 22, 2024
Reactivated
Jul 29, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 95655 TX Primary

Addresses

Primary practice location

1010 W Ralph Hall Pkwy Ste 112
Rockwall, TX 75032-6690

Mailing address

1010 W Ralph Hall Pkwy Ste 112
Rockwall, TX 75032-6690
Phone (512) 956-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95655TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marvelous Counseling & Therapy PLLC CurrentSince Jul 28, 2024 Accepting new patients
Deep Eddy Psychotherapy Management, LLC PastSince Sep 9, 2024 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

13700 Veterans Memorial Dr
Ste 100
Houston, TX 77014
Phone (281) 508-4466

Organizations & group practices 3

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1265260202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W RALPH HALL PKWY STE 112",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326690",
            "telephone_number": "512-956-6463",
            "fax_number": "866-653-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W RALPH HALL PKWY STE 112",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326690",
            "telephone_number": "972-865-8782",
            "fax_number": "972-499-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "SHATARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "deactivation_date": "2026-02-09",
        "reactivation_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.