Deborah Shields, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63578 Issued in TX

Practice address

5510 Matlock Rd
Arlington, TX 76018-1533

Phone

(817) 714-6991

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1619745635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 MEADOWOOD VILLAGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181533",
            "telephone_number": "817-714-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DEBORAH",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie W Sherrill, RN
• Sherry Nussbaum, M.D., P.a.
• Chelsea Lynn Sherwood
• Ahmad Sherzay, CSA
• Margi Sheth, PHARMD
• Ty Shields
• Zachary Alexander Shields, DO
• Shine Behavioral LLC
• John S Shing, D.C.
• Benson O. Shitote, N.P.

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.