Robert K Shupe, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16000 Issued in TX

Practice address

1103 Wilson St
Henderson, TX 75652-6077

Phone

(903) 655-0123

Fax

(903) 722-2624

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Services, PLLC

  • Mental Health Counselor
  • Henderson, TX
  • NPI 1467863407

  Mental Health, TX

  Medicare reassignment NPD
• Matagorda Episcopal Health Outreach Program Corporation

  • Federally Qualified Health Center (FQHC)
  • Bay City, TX
  • NPI 1598024788

  TX

  Medicare reassignment

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1689765125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 LARKSPUR LN",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756624221",
            "telephone_number": "903-704-8589",
            "fax_number": "903-722-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526077",
            "telephone_number": "903-655-0123",
            "fax_number": "903-722-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "123757",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "840006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163211901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger C Sessions, MD
• Merianne Sharp, COTA
• Shawna Elizabeth Sharp, NP
• Brittany Shipp, FNP
• Amber Shippey, CST, CSFA
• James Franklin Sims I, DDS
• Annie Myrel Smith, LVN
• Mallory Jo Spencer, COTA
• Nicole Leigh Stanley, NP
• Mary J Starling, MD

• Professional Counselor in Henderson, TX
• Providers in Henderson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.