Payton Shepherd

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2022029630 Issued in MO

Practice address

214 N Clay Ave Ste 215
Kirkwood, MO 63122-4068

Phone

(314) 852-0773

NPI assigned

May 28, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1891588174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 HERITAGE FARMS DR",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630693624",
            "telephone_number": "314-852-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CLAY AVE STE 215",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224068",
            "telephone_number": "314-852-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "PAYTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2022029630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese M Shapiro, OT
• Jerome Shatoff, DDS
• Shekar Family Practice LLC
• Meera Shekar, APRN, FNP-BC, FNP-C
• Tia Linthel Shepard, PT, DPT
• Elizabeth Lauren Sherman, MD
• Shivan Shetty, DO
• Julia D Showmaker, PTA
• Rachel E Sievers, RBT
• Tyler Thomas Sinks

• Mental Health Counselor in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.