Active NPI
Nicole Shepard, LPC
- Professional Counselor
- Staunton, VA
National Provider Identifier
1265873871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005436
- Practice address
- 2 N Central Ave
Staunton, VA 24401-4268 - Phone
- (540) 949-7045
- Fax
- (540) 949-8897
- NPI assigned
- Jul 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005436 | VA | Primary |
Addresses
Primary practice location
2 N Central Ave
Staunton, VA 24401-4268
Mailing address
2 N Central Ave
Staunton, VA 24401-4268
Phone (540) 414-1149
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005436 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Youth Services | Past | Accepting new patients | |
| Compass Youth Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Charlottesville, VA
- NPI 1285992743
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1952339046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1265873871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 N CENTRAL AVE",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014268",
"telephone_number": "540-414-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N CENTRAL AVE",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014268",
"telephone_number": "540-949-7045",
"fax_number": "540-949-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
- Shenandoah Dermatology, P.C.
- Shenandoah Valley Home Health, Inc
- Shenandoah Valley Juvenile Center
- Shepard Family Counseling & Consulting, PLLC
- Charles F. Shepard, PHD, NCC, LPC
- Cindy L Sherwood, M.D.
- Janna Lindsey Shields, RN, FNP
- Marc Douglas Shields, MD
- Teresa L. Shiflett, PMHNP
- Anne M Shillinger, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.