JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) – Mental Health Counselor, NPI 1033583588

JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) is a healthcare provider. based in Huntsville, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, NCC, ASOTP. They hold a License No. 72105 (TX). The NPI Number for JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) is 1033583588

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP)
NPI
1033583588
Phone
(936) 577-8570
Address
2521 CROSSTIMBERS ST APT B1
Enumeration Date
20 November 2015
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552847483
Graduation Year
2013 (13 years ago)
PAC ID
8022467778
Group Practice PAC ID
0749458420
Professional Enrollment ID
I20231207000651
Address ID
TX773805000TH1201XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP)

  • 2521 CROSSTIMBERS ST APT B1

    HUNTSVILLE, TX 773203443

    Phone: (936) 577-8570

    Type: Mailing

  • 2521 CROSSTIMBERS

    APT B-1

    HUNTSVILLE, TX 77320

    Phone: (936) 577-8570

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231207000651IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749458420View full group profile
NameSpecialtyState
Mental Health CounselorTX
Clinical Social WorkerTX
Mental Health CounselorPA
Mental Health CounselorGA
Mental Health CounselorGA
Clinical Social WorkerMA
Mental Health CounselorTX
Mental Health CounselorPA
Clinical Social WorkerMI
Mental Health CounselorGA

Reviews

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Frequently asked questions

Can I verify JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) with an NPI only?
You can start verification with NPI 1033583588 for JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP), then check state licensing separately.
Does the file indicate JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) is practicing under active NPI?
Directory data currently reports JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) as active.
What taxonomy line describes JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP)?
For research purposes, treat JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where is JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) based?
JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) is tied to Huntsville, Texas in the data we show; additional addresses may exist on the full record.
Why does JACQUELYN ELAINE SHAIR (LPC, NCC, ASOTP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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