Individual provider Active NPI

Magdalen Violet Sheppard, LLPC, MT-BC

  • Counselor
  • Royal Oak, MI
National Provider Identifier
1649928599
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451024653 Issued in MI
Practice address
3204 N Main St
Royal Oak, MI 48073-3424
Phone
(313) 486-4651
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 17145 MI
Counselor 101Y00000X 6451024653 MI Primary

Addresses

Primary practice location

3204 N Main St
Royal Oak, MI 48073-3424

Mailing address

40004 Cambridge St Apt 202
Canton, MI 48187-4544
Phone (810) 922-0482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6451024653MIMDCounselor
17145MIMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1649928599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40004 CAMBRIDGE ST APT 202",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874544",
            "telephone_number": "810-922-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733424",
            "telephone_number": "313-486-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "MAGDALEN",
        "middle_name": "VIOLET",
        "credential": "LLPC, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MI",
            "license": "17145",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.