Individual provider Active NPI

Stephanie Delois Sheppard, D.C.C

  • Mental Health Counselor
  • Crystal River, FL
National Provider Identifier
1952759870
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13961 Issued in FL
Practice address
708 NE 6TH St
Crystal River, FL 34428-3704
Phone
(352) 228-4969
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13961 FL Primary

Addresses

Primary practice location

708 NE 6TH St
Crystal River, FL 34428-3704

Mailing address

540 NE 25TH St
Gainesville, FL 32641-3933
Phone (352) 437-8111

Other practice location 1

540 NE 25th St
Gainesville, FL 32641-3933
Phone (352) 437-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250922002925 FL Practitioner - Mental Health Counselor 5395240386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4300 SW 13TH St
Gainesville, FL 32608-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH13961FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Aug 21, 2025 Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Aug 21, 2025 Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1952759870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NE 25TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326413933",
            "telephone_number": "352-437-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 NE 6TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283704",
            "telephone_number": "352-228-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 NE 25th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326413933",
            "country_code": "US",
            "telephone_number": "352-437-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "STEPHANIE",
        "middle_name": "DELOIS",
        "name_prefix": "Mrs.",
        "credential": "D.C.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.