Lisa Shepherd, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

415 Broadwater Ave
Billings, MT 59101-2813

Phone

(406) 250-9744

NPI assigned

Jul 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Lisa Dauenhauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clover Pediatric and Adolescent Therapy, LLC

  • Professional Counselor
  • Billings, MT
  • NPI 1457178063
  NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1932887429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PUEBLO DRIVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026329",
            "telephone_number": "406-876-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591012813",
            "telephone_number": "406-250-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-05-24",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-58291",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DAUENHAUER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Sheiko, MD
• Linda Shelton, PT
• Theresa Marie Shelton, NNP-BC
• David W Shenton Jr., M.D.
• Danielle Marie Shepherd, PA-C
• Carl Richard Shepp Sr., RPH
• Debra Joy Sheppard, PHD, ABPP
• MC Kaid Sheppard, DDS
• Serin Moideen Sheriff, MD
• Cynthia Jean Sherman, OTR

• Professional Counselor in Billings, MT
• Providers in Billings, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.