Individual provider Active NPI

Ami Shelton Shelton, LPC- ASSOCIATE

  • Mental Health Counselor
  • Ovilla, TX
National Provider Identifier
1881586873
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99193 Issued in TX
Practice address
603 Meadow Lark Dr
Ovilla, TX 75154-3609
Phone
(469) 272-8797
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99193 TX Primary

Addresses

Primary practice location

603 Meadow Lark Dr
Ovilla, TX 75154-3609

Mailing address

603 Meadow Lark Dr
Ovilla, TX 75154-3609
Phone (813) 650-6756

Other practice location 1

603 Meadow Lark Dr
Ovilla, TX 75154-3609
Phone (469) 272-8797

Other names 1

  • Ami Shelton Defreitas Former name

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

LicenseStateTypeSpecialty
99193TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1881586873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MEADOW LARK DR",
            "city": "OVILLA",
            "state": "TX",
            "postal_code": "751543609",
            "telephone_number": "813-650-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MEADOW LARK DR",
            "city": "OVILLA",
            "state": "TX",
            "postal_code": "751543609",
            "telephone_number": "469-272-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Meadow Lark Dr",
            "address_purpose": "LOCATION",
            "city": "Ovilla",
            "state": "TX",
            "postal_code": "751543609",
            "country_code": "US",
            "telephone_number": "469-272-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "AMI SHELTON",
        "credential": "LPC- ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "99193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI SHELTON",
            "last_name": "DEFREITAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ovilla, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.