Individual provider Active NPI

Jaimee Sheppard

  • Counselor
  • Exton, PA
National Provider Identifier
1770475220
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC016206 Issued in PA
Practice address
397 Eagleview Blvd Ste 120
Exton, PA 19341-1150
Phone
(610) 422-3064
NPI assigned
Jul 18, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC016206 PA Primary

Addresses

Primary practice location

397 Eagleview Blvd Ste 120
Exton, PA 19341-1150

Mailing address

200 W Sedgwick St Apt 216
Philadelphia, PA 19119-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251006000006 PA Practitioner - Mental Health Counselor 0547766818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twenty-2 Management Group LLCGroup PAC ID 0749648277, 4 clinicians

Practice addresses (Care Compare)

397 Eagleview Blvd
Suite 120
Exton, PA 19341-1150
Phone (610) 422-3064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016206PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twenty-2 Management Group LLC CurrentSince Aug 21, 2025 Accepting new patients

Locations

397 Eagleview Blvd
Ste 120
Exton, PA 19341
Phone (484) 368-6978

Organizations & group practices 1

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": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1770475220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SEDGWICK ST APT 216",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JAIMEE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC016206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.