Active NPI
Saundra Sheppard, PLPC, CRADC
- Professional Counselor
- Blue Springs, MO
National Provider Identifier
1659624716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2012032159
- Practice address
- 2708 NW 4TH St
Blue Springs, MO 64014-1216 - Phone
- (816) 516-7813
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4809 | MO | |
| Professional Counselor | 101YP2500X | 2012032159 | MO | Primary |
Addresses
Primary practice location
2708 NW 4TH St
Blue Springs, MO 64014-1216
Mailing address
2708 NW 4TH St
Blue Springs, MO 64014-1216
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 |
|---|---|---|---|
| 4809 | MO | MD | Addiction (Substance Use Disorder) Counselor |
| 2012032159 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1659624716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 NW 4TH ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640141216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 NW 4TH ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640141216",
"telephone_number": "816-516-7813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "SAUNDRA",
"name_prefix": "Mrs.",
"credential": "PLPC, CRADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "4809",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2012032159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.