Audrey Dawn Sheppard, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018015969 Issued in MO

Practice address

89 McCrory Dr
Camdenton, MO 65020

Phone

(573) 525-7071

Fax

(573) 525-7072

NPI assigned

May 18, 2018

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

Enrolled in MO

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sheppard Counseling LLC

  • Professional Counselor
  • Camdenton, MO
  • NPI 1124870126
  Medicare reassignment NPD
• Benton Street Counseling LLC

  • Professional Counselor
  • Rolla, MO
  • NPI 1578053955
  NPD (past)
• Benton Street Counseling LLC

  • Professional Counselor
  • Camdenton, MO
  • NPI 1891229878
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1902396591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 LONE WOLF DR",
            "city": "GRAVOIS MILLS",
            "state": "MO",
            "postal_code": "650376631",
            "telephone_number": "573-525-7071",
            "fax_number": "573-525-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MCCRORY DR",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "65020",
            "telephone_number": "573-525-7071",
            "fax_number": "573-525-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "AUDREY",
        "middle_name": "DAWN",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018015969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• School District R- 3 Camdenton
• Diana Meade Scoggin, OD
• Leanna Scott, LMSW
• Serene Shores, LLC
• Sheppard Counseling LLC
• Linda Susan Sheriff, SPEECH-LANGUAGE PATH
• Gabriel Vincent Skiba, DO
• Isaac A Southwick
• Carinda Elynn Steele, ATC, LAT, PTA
• Howard Lee Stich III, DC

• Professional Counselor in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.