Susan Schlosser Shepard, LMFT, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

17834 Issued in TX

Practice address

4516 Boat Club Rd Ste 106
Fort Worth, TX 76135-7020

Phone

(817) 238-0106

NPI assigned

Aug 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Schlosser Shepard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lake Worth Counseling

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1194085506

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1962650259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 BOAT CLUB RD STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357020",
            "telephone_number": "682-556-9096",
            "fax_number": "817-238-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 BOAT CLUB RD STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357020",
            "telephone_number": "817-238-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "SUSAN",
        "middle_name": "SCHLOSSER",
        "credential": "LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "17834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3900789",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHEPARD",
            "middle_name": "SCHLOSSER",
            "credential": "LPC; LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca L Shelton, LCSW
• Robert Shelton Jr.
• Suzzette M Shelton, L.C.D.C.
• Sandy Cho Shemme, LVN
• Darryl Shepard, CPT
• Melody Joy Shepherd Valley, EDD, CCC-SLP
• Jessica Blair Shepherd, MD
• Kendra Shepherd
• Amy Sheppard, CRNA
• Kimberly Lynn Sheppard, LCSW

• Marriage & Family Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.