Rosemary Shepard, LCMHCA, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18871 Issued in NC

Practice address

705 Cumberland St
Fayetteville, NC 28301-7020

Phone

(910) 482-3332

Fax

(910) 485-1453

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promising Futures Therapeutic Solutions

  • Mental Health Counselor
  • Spring Lake, NC
  • NPI 1679331946

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Clinical Counseling and Consulting Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1942744792

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1679204366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CUMBERLAND ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017020",
            "telephone_number": "910-482-3332",
            "fax_number": "910-485-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CUMBERLAND ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017020",
            "telephone_number": "910-482-3332",
            "fax_number": "910-485-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ROSEMARY",
        "credential": "LCMHCA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27778",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rshepard@firmfoundationinc.com",
            "affiliation": "N",
            "address_1": "705 Cumberland St",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283017020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stuart D Shelton, MD
• Daquaria Shepard, LCSW-A
• Jeffrey Shepard
• Kaitlyn Faith Shepard
• Mallory Shepard
• Jahmiyah Shephard
• Amanda Shepherd
• Darryel Sheppard, RBT
• Alyssa Katharine Goncalves Sheptor
• Richard H Shereff, MD

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.