Individual provider Active NPI

Isaac Sheffield Staton, LPC

  • Professional Counselor
  • Wichita Falls, TX
National Provider Identifier
1629835483
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88967 Issued in TX
Practice address
1904 Central Fwy
Wichita Falls, TX 76306-5038
Phone
(325) 212-7953
NPI assigned
Feb 28, 2024
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88967 TX
Professional Counselor 101YP2500X 88967 TX Primary

Addresses

Primary practice location

1904 Central Fwy
Wichita Falls, TX 76306-5038

Mailing address

1904 Central Fwy
Wichita Falls, TX 76306-5038
Phone (325) 212-7953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260317004590 TX Practitioner - Mental Health Counselor 9830673995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

1904 Central Fwy
Wichita Falls, TX 76306

400 N Allen Dr
Suite 204
Allen, TX 75013-2568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88967TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Professional CurrentSince Mar 11, 2026 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

Organizations & group practices 2

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1629835483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CENTRAL FWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763065038",
            "telephone_number": "325-212-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 CENTRAL FWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763065038",
            "telephone_number": "325-212-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "ISAAC",
        "middle_name": "SHEFFIELD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88967",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.