Individual provider Active NPI

Andrea Claire Shiflet, MS, LMFT

  • Marriage & Family Therapist
  • Shenandoah, TX
National Provider Identifier
1831527258
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201614 Issued in TX
Practice address
128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018
Phone
(807) 577-2321
NPI assigned
Oct 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201614 TX Primary

Addresses

Primary practice location

128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018

Mailing address

128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018
Phone (807) 577-2321

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
I20240126003051 TX Practitioner - Marriage and Family Therapist 1355708900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Mental Health PLLCGroup PAC ID 5092172668, 8 clinicians

Practice addresses (Care Compare)

128 Vision Park Blvd
Suite 230
Shenandoah, TX 77384-3018
Phone (832) 346-8082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Sun Mental Health PLLC Current Accepting new patients
Thrive Mental Health PLLC Marriage & Family Therapist CurrentSince Mar 15, 2023 Accepting new patients

Locations

128 Vision Park Blvd
Ste 230
Shenandoah, TX 77384
Phone (832) 346-8082

Organizations & group practices 2

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": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1831527258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 230",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843018",
            "telephone_number": "807-577-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 230",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843018",
            "telephone_number": "807-577-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLET",
        "first_name": "ANDREA",
        "middle_name": "CLAIRE",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.