Individual provider Active NPI

Karen Suzanne Shepard, LPC

  • Professional Counselor
  • Paola, KS
National Provider Identifier
1477417640
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04922 Issued in KS
Practice address
25955 W 327TH St
Paola, KS 66071-4920
Phone
(913) 557-9096
Fax
(913) 294-9247
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 04922 KS Primary

Addresses

Primary practice location

25955 W 327TH St
Paola, KS 66071-4920

Mailing address

PO Box 677
Ottawa, KS 66067-0677
Phone (785) 242-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20251226001857 KS Practitioner - Mental Health Counselor 8820584097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Layton Center IncGroup PAC ID 1557255940, 25 clinicians

Practice addresses (Care Compare)

25955 W 327TH St
Paola, KS 66071-4920
Phone (913) 557-9096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04922KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. CurrentSince Dec 16, 2025 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

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": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1477417640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25955 W 327TH ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660714920",
            "telephone_number": "913-557-9096",
            "fax_number": "913-294-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "KAREN",
        "middle_name": "SUZANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.