Active NPI
Steven Eugene Shephard, LPC , MED, MS
- Professional Counselor
- State College, PA
National Provider Identifier
1487294120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012108
- Practice address
- 103 E Beaver Ave Ste 2
State College, PA 16801-4969 - Phone
- (814) 409-7744
- NPI assigned
- Jan 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PC012108 | PA | Primary |
Addresses
Primary practice location
103 E Beaver Ave Ste 2
State College, PA 16801-4969
Mailing address
717 Boalsburg Pike
Boalsburg, PA 16827-1133
Phone (814) 777-7461
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
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012108 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Counseling Inc | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1487294120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 BOALSBURG PIKE",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271133",
"telephone_number": "814-777-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E BEAVER AVE STE 2",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168014969",
"telephone_number": "814-409-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHARD",
"first_name": "STEVEN",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LPC , MED, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.