SHELLY SHEPHERD – Professional Counselor, NPI 1396197638

SHELLY SHEPHERD is a healthcare provider. based in Laramie, Wyoming. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LPC-1135 (WY). The NPI Number for SHELLY SHEPHERD is 1396197638

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY SHEPHERD
NPI
1396197638
Phone
(307) 703-0206
Address
3321 REYNOLDS ST
Enumeration Date
11 July 2016
Last Update Date
11 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077210700
Graduation Year
2007 (19 years ago)
PAC ID
0244681849
Group Practice PAC ID
1254348626
Professional Enrollment ID
I20240108005975
Address ID
WY820722091LA1575XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

271 MENTAL HEALTH COUNSELOR in WY

Provider Addresses for SHELLY SHEPHERD

  • 3321 REYNOLDS ST

    LARAMIE, WY 820725094

    Phone: (307) 703-0206

    Type: Mailing

  • 3221 REYNOLDS ST

    LARAMIE, WY 820725077

    Phone: (307) 703-0206

    Type: Location

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: 2024-01-08

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
I20240108005975IMental Health CounselorWYTBD

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 82072)

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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: 1254348626View full group profile
NameSpecialtyState
Mental Health CounselorWY
Marriage And Family TherapistWY

Reviews

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Frequently asked questions

Can I cross-check SHELLY SHEPHERD using NPI 1396197638?
NPI 1396197638 belongs to SHELLY SHEPHERD; compare other details if you need extra assurance.
Is there an active status for SHELLY SHEPHERD?
For scheduling context, SHELLY SHEPHERD is shown as active in the registry.
What kind of doctor is SHELLY SHEPHERD?
SHELLY SHEPHERD is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is SHELLY SHEPHERD associated with Laramie?
Public fields place SHELLY SHEPHERD around Laramie, Wyoming. Always confirm the exact site before visiting.
Can I trust this NPI listing for SHELLY SHEPHERD?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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