Active NPI
Christopher Isaac Sheppard, LPC
- Counselor
- Ann Arbor, MI
National Provider Identifier
1801468830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401007606
- Practice address
- 2750 S State St
Ann Arbor, MI 48104-6179 - Phone
- (734) 662-6300
- Fax
- (734) 662-6300
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401007606 | MI | Primary |
Addresses
Primary practice location
2750 S State St
Ann Arbor, MI 48104-6179
Mailing address
2870 Harrington Rd
Rochester Hills, MI 48307-4403
Phone (248) 709-3983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401007606 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1801468830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 HARRINGTON RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074403",
"telephone_number": "248-709-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046179",
"telephone_number": "734-662-6300",
"fax_number": "734-662-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "CHRISTOPHER",
"middle_name": "ISAAC",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401007606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.