Individual provider Active NPI

Shaundra Stephens, CMLC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1528940558
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9008 Stone Mill LN
Fort Worth, TX 76179-8118
Phone
(682) 325-2055
NPI assigned
Jul 22, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Health & Wellness Coach 171400000X

Addresses

Primary practice location

9008 Stone Mill LN
Fort Worth, TX 76179-8118

Mailing address

3921 Freshfield Rd
Fort Worth, TX 76119-2111
Phone (682) 325-2055

Other practice location 1

3921 Freshfield Rd
Fort Worth, TX 76119-2111
Phone (682) 325-2055

Other names 1

  • Shaun Stephens Professional name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1528940558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 FRESHFIELD RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761192111",
            "telephone_number": "682-325-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 STONE MILL LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761798118",
            "telephone_number": "682-325-2055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3921 Freshfield Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761192111",
            "country_code": "US",
            "telephone_number": "682-325-2055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SHAUNDRA",
        "credential": "CMLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUN",
            "last_name": "STEPHENS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.