ALISSA SHUTTS (LPC) – Professional Counselor, NPI 1619521002

ALISSA SHUTTS (LPC) is a healthcare provider. based in Giddings, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 75493 (TX). The NPI Number for ALISSA SHUTTS (LPC) is 1619521002

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA SHUTTS (LPC)
NPI
1619521002
Phone
(512) 308-7279
Address
785 E INDEPENDENCE ST UNIT 7
Enumeration Date
24 July 2019
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128987677
Graduation Year
2005 (21 years ago)
PAC ID
2365978590
Professional Enrollment ID
I20241211001081
Address ID
TX786412309LE2301XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

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Provider Addresses for ALISSA SHUTTS (LPC)

  • East Independence Street, Giddings, Lee County, Texas, 78942, United States

    GIDDINGS, TX 789421560

    Phone: (512) 308-7279

    Mailing address matches the actual address.

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: 2024-12-11

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
I20241211001081IMental 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 78942)

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Reviews

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Frequently asked questions

Can I verify ALISSA SHUTTS (LPC) with an NPI only?
You can start verification with NPI 1619521002 for ALISSA SHUTTS (LPC), then check state licensing separately.
Does the file indicate ALISSA SHUTTS (LPC) is practicing under active NPI?
Directory data currently reports ALISSA SHUTTS (LPC) as active.
What healthcare role does ALISSA SHUTTS (LPC) hold?
Scheduling teams often label ALISSA SHUTTS (LPC) under Professional Counselor. Clinical services aligned with this taxonomy classification.
Does ALISSA SHUTTS (LPC) list a practice location?
Patients near Giddings, Texas may find ALISSA SHUTTS (LPC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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