Nicole Rose Shepherd, M.A, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4192 Issued in TN

Practice address

1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381

Phone

(865) 588-3173

Fax

(865) 588-3174

NPI assigned

Sep 4, 2018

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.nicoleshepherd@148560.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1457409898
  Medicare reassignment Care Compare group NPD
• Clinical & Forensic Consultation, LLC

  dba Thriveworks

  • Professional Counselor
  • Thompsons Station, TN
  • NPI 1790106979
  NPD (past)
• G. Michael Pilcher, Inc.

  dba G. Michael Pilcher, PhD, LMHC

  • Mental Health Counselor
  • Ormond Beach, FL
  • NPI 1205306313

  Professional

  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1891277125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091381",
            "telephone_number": "865-588-3173",
            "fax_number": "865-588-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091381",
            "telephone_number": "865-588-3173",
            "fax_number": "865-588-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "credential": "M.A, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Shepherd, LPN
• Cynthia R. Shepherd, P.T.
• David Jackson Shepherd, PA-C
• Kevin Andrew Shepherd
• Michael Shepherd, B.A.
• Savanna Nye Shepherd, PSYD
• Selma Elise Shepherd, PHARMD
• Terry Preston Shepherd, M.D.
• Jessica Leah Sheppard, MSSW
• Joseph Sheppard

• Professional Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.