Active NPI
Jennifer L Shonkwiler
- Professional Counselor
- North Richland Hills, TX
National Provider Identifier
1619461589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 8376 Davis Blvd Ste 117
North Richland Hills, TX 76182-8949 - Phone
- (682) 233-2254
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
8376 Davis Blvd Ste 117
North Richland Hills, TX 76182-8949
Mailing address
12920 Steadman Farms Dr
Fort Worth, TX 76244-1877
Phone (623) 377-0586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 23, 2024 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Space Counseling Center | Professional | 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.
-
- Professional Counselor
- Wichita Falls, TX
- NPI 1972225423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1619461589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 STEADMAN FARMS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762441877",
"telephone_number": "623-377-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8376 DAVIS BLVD STE 117",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761828949",
"telephone_number": "682-233-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHONKWILER",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.