Individual provider Active NPI

Shenan Spraberry, LPC, PH.D

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1720499767
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68964 Issued in TX
Practice address
3000 S Hulen St Ste 124-1320
Fort Worth, TX 76109-1929
Phone
(817) 953-6316
Fax
(817) 953-6347
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68964 TX
Professional Counselor 101YP2500X 68964 TX Primary

Addresses

Primary practice location

3000 S Hulen St Ste 124-1320
Fort Worth, TX 76109-1929

Mailing address

2000 E Lamar Blvd Ste 600
Arlington, TX 76006-7361
Phone (817) 953-6316

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260401002752 TX Practitioner - Mental Health Counselor 8123328895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
68964TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Realign Health and Wellness Center CurrentSince Jun 16, 2024 Accepting new patients
Realign Counseling Center Professional Past Accepting new patients

Locations

3000 S Hulen St
Ste 1241320
Fort Worth, TX 76109
Phone (817) 953-6316

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1720499767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067361",
            "telephone_number": "817-953-6316",
            "fax_number": "817-953-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST STE 124-1320",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091929",
            "telephone_number": "817-953-6316",
            "fax_number": "817-953-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRABERRY",
        "first_name": "SHENAN",
        "name_prefix": "Dr.",
        "credential": "LPC, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68964",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.