NPIMap

Organization Active NPI

Get Out of Your Head Therapy, LLC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1710359690
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69395 Issued in TX
Legal business name
GET OUT OF YOUR HEAD THERAPY, LLC
Practice address
345 Owen Lane Suite 102
Waco, TX 76710
Phone
(512) 686-6012
Fax
(512) 842-7227
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Ms. Ashleydawn Sheppard, LPC
Title
Owner
Phone
(512) 686-6012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 69395 TX Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X TX

Addresses

Primary practice location

345 Owen Lane Suite 102
Waco, TX 76710

Mailing address

208 Hewitt Dr Ste 103
Box 218
Waco, TX 76712
Phone (512) 686-6012

Other identifiers 3

IdentifierTypeStateIssuer
406394301MedicaidTX
336327702MedicaidTX
406394302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160914002621 TX Part B Supplier - Clinic/Group Practice 6608162896 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX; Waco, TX

National Provider Directory

National Provider Directory

Locations

824 W 10th St
Ste 200
Austin, TX 78701
Phone (512) 217-1101

512 W Martin Luther King Jr Blvd
#148
Austin, TX 78701

3000 Joe Dimaggio Blvd
Ste 60
Round Rock, TX 78665
Phone (404) 784-4753

345 Owen Ln
Ste 102
Waco, TX 76710
Phone (512) 686-6012

208 Hewitt Dr
Ste 103
Woodway, TX 76712
Phone (512) 686-6012

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1710359690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HEWITT DR STE 103",
            "address_2": "BOX 218",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OWEN LANE SUITE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET OUT OF YOUR HEAD THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "ASHLEYDAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-686-6012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69395",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406394301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336327702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406394302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.