Individual provider Active NPI

Rhonda Rochelle Shields, LPCC

  • Professional Counselor
  • Fort Sumner, NM
National Provider Identifier
1609107085
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0132951 Issued in NM
Practice address
176 Peach LN
Fort Sumner, NM 88119-9018
Phone
(505) 269-4155
NPI assigned
Jan 25, 2010
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0104691 NM
Professional Counselor 101YP2500X 0132951 NM
Professional Counselor 101YP2500X T-0130211 NM
Professional Counselor 101YP2500X CCMH0132951 NM Primary

Addresses

Primary practice location

176 Peach LN
Fort Sumner, NM 88119-9018

Mailing address

176 Peach LN
Fort Sumner, NM 88119-9018
Phone (505) 269-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240205004023 NM Practitioner - Mental Health Counselor 0648613893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104691NMMDMental Health Counselor
0132951NMMDProfessional Counselor
CCMH0132951NMMDProfessional Counselor
T-0130211NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rational Lifestyle Consulting LLC Professional CurrentSince Jan 1, 2024 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, 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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1609107085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 PEACH LN",
            "city": "FORT SUMNER",
            "state": "NM",
            "postal_code": "881199018",
            "telephone_number": "505-269-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 PEACH LN",
            "city": "FORT SUMNER",
            "state": "NM",
            "postal_code": "881199018",
            "telephone_number": "505-269-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RHONDA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0104691",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0132951",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "T-0130211",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0132951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sumner, NM

Sources for this page

Verify at the official NPI Registry.