Organization Active NPI

Shepherd Therapy PLLC

  • Clinical Social Worker
  • Plymouth, MN
National Provider Identifier
1730993528
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHEPHERD THERAPY PLLC
Practice address
14332 21St Ave N Ste 200
Plymouth, MN 55447-4566
Phone
(612) 564-9355
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Jennifer ShepherdNPI 1518137421
Title
Owner
Phone
(612) 564-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

14332 21St Ave N Ste 200
Plymouth, MN 55447-4566

Mailing address

4190 Vinewood Lane N
Ste 111 PMB 403
Plymouth, MN 55442-1771
Phone (612) 564-9355

National Provider Directory

National Provider Directory

Locations

4190 Vinewood Ln N
Ste 111
Plymouth, MN 55442
Phone (612) 564-9355

Practitioners & affiliated clinicians

Practitioners 1

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1730993528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 VINEWOOD LANE N",
            "address_2": "STE 111 PMB 403",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421771",
            "telephone_number": "612-564-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 21ST AVE N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474566",
            "telephone_number": "612-564-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-564-9355"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.