Shirley Nedock, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78304 Issued in TX

Practice address

1067 FM 306 Ste 402
New Braunfels, TX 78130-6895

Phone

(281) 925-7780

Fax

(210) 783-1646

NPI assigned

Oct 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shirleynedock@tdh.allscriptsdirect.net

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.

• Living Tree New Braunfels Counseling Center PLLC

  • Professional Counselor
  • New Braunfels, TX
  • NPI 1912466608

  Mental Health

  Medicare reassignment NPD
• Living Tree Case Management and Skills Training Center LLC

  • Case Management Agency
  • New Braunfels, TX
  • NPI 1013653120
  NPD Authorized official
• Living Tree Case Management and Skills Training Center LLC

  • Case Management Agency
  • New Braunfels, TX
  • NPI 1821756768
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• New Leaf Behavioral Health

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1508042003

  Mental Health

  NPD (past)
• New Leaf Behavioral Health

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1720313778
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1942586508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 402",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306895",
            "telephone_number": "830-312-7921",
            "fax_number": "830-629-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 402",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306895",
            "telephone_number": "281-925-7780",
            "fax_number": "210-783-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 Lake Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770701886",
            "country_code": "US",
            "telephone_number": "830-312-7921",
            "fax_number": "830-629-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEDOCK",
        "first_name": "SHIRLEY",
        "name_prefix": "Miss",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78304",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "78304",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10203",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "78304",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78304",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381289301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NB Mobility LLC
• NB Physician Group, PLLC
• NB Physicians Ip, PLLC
• NBTX Medica
• NDX Associates, Inc
• Nelson Cottage PLLC
• Gregory W Nelson, FNP-C, DC
• Isabel Denise Nelson, R.PH.
• Jason A Nelson, M.D.
• Steven Nelson

• Professional Counselor in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.