Individual provider Active NPI

John P Sheppard, LPC

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1508563065
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78399 Issued in TX
Practice address
6802 Elkhart Ave
Lubbock, TX 79424-1433
Phone
(806) 470-4947
NPI assigned
Feb 14, 2023
Reactivated
Mar 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 78399 TX Primary

Addresses

Primary practice location

6802 Elkhart Ave
Lubbock, TX 79424-1433

Mailing address

6707 85TH St
Lubbock, TX 79424-4769
Phone (806) 470-4947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240418004177 TX Practitioner - Mental Health Counselor 1759720022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3223 S Loop
289 Suite 315
Lubbock, TX 79423-1333
Phone (806) 470-4947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78399TXMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Counseling Services LLC Professional CurrentSince Feb 25, 2024 Accepting new patients

Locations

3223 S Loop 289
Ste 315
Lubbock, TX 79423
Phone (806) 252-3494

6802 Elkhart Ave
Lubbock, TX 79424
Phone (806) 470-4947

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1508563065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 85TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244769",
            "telephone_number": "806-470-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 ELKHART AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241433",
            "telephone_number": "806-470-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "deactivation_date": "2023-03-09",
        "reactivation_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.