Active NPI
Magdalen Violet Sheppard, LLPC, MT-BC
- Counselor
- Royal Oak, MI
National Provider Identifier
1649928599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451024653
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024653 | MI | MD | Counselor |
| 17145 | MI | MD | Music 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.