Jael Shackleford, LPC ASSOCIATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

87771 Issued in TX

Practice address

7550 FM 1187 W
Fort Worth, TX 76126-5109

Phone

(888) 744-2779

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1548009731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 STEVE DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760361382",
            "telephone_number": "678-431-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FM 1187 W",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761265109",
            "telephone_number": "888-744-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Steve Dr",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "TX",
            "postal_code": "760361382",
            "country_code": "US",
            "telephone_number": "678-431-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHACKLEFORD",
        "first_name": "JAEL",
        "name_prefix": "Mrs.",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87771",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "87771",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley E Shabareck, NP
• Adrienne Marie Shabazz, LBSW
• Shabnam Qasim Mdpa
• Nabeel M Shabout, M.D.
• Janet Shackelford, MD
• Edward Charles Shadiack III, D.O.
• Burton Alexander Shadow
• Ingrid L Shadow, LCSW
• Caitlin Joy Shaffer, RN
• Howard L Shaffer, MD

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.