Active NPI
Natalie Elrissa Shepherd, LPC, LMFT, RPT
- Professional Counselor
- Dallas, TX
National Provider Identifier
1881924645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18113
- Practice address
- 8035 E RL Thrtn Fwy
Suite 503
Dallas, TX 75228-7018 - Phone
- (214) 770-3029
- Fax
- (214) 319-9209
- NPI assigned
- Dec 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18113 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 5105 | TX |
Addresses
Primary practice location
8035 E RL Thrtn Fwy
Suite 503
Dallas, TX 75228-7018
Mailing address
1155 Potter Ave
Rockwall, TX 75087-2419
Phone (972) 771-6928
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 |
|---|---|---|---|
| 18113 | TX | MD | Professional Counselor |
| 5105 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1881924645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 POTTER AVE",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750872419",
"telephone_number": "972-771-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 E RL THRTN FWY",
"address_2": "SUITE 503",
"city": "DALLAS",
"state": "TX",
"postal_code": "752287018",
"telephone_number": "214-770-3029",
"fax_number": "214-319-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "NATALIE",
"middle_name": "ELRISSA",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-29",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18113",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.