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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANDI SHEPPARD CDCA
NPI 1104655158
Counselor - Addiction (Substance Use Disorder) in Athens, OH

Active since July 29, 2024
400 E STATE ST STE D, ATHENS, OH 45701(866) 534-2639(800) 480-7578 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Aug 26, 2026, Aug 2, 2024 (3 updates tracked since 2024).

About Brandi Sheppard Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDI SHEPPARD CDCA (NPI 1104655158) is an individual addiction (substance use disorder) provider in Athens, Ohio, licensed in Ohio (CDCA.192946) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1104655158
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRANDI SHEPPARDCredential: CDCA
Location Address400 E STATE ST STE DAthens, OH 45701-1870
Mailing Address400 E State St Ste DAthens, OH 45701-1870
Phone(866) 534-2639
Fax(800) 480-7578
Sole ProprietorYes
Enumeration DateJuly 29, 2024
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1104655158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.192946
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
400 E STATE ST STE D, Athens, OH 45701
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Other Identifiers 1

Medicaid0056708OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANGELICA MARIE ALBEK BSN-RN
Registered Nurse (Psychiatric/Mental Health)
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 212-1391
MS. DANETTE PETTIGREW R.N.
Registered Nurse
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 249-4514
DEMAR GARY
Case Manager/Care Coordinator
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 326-6110
LYDIA FIONA PRINDLE
Case Manager/Care Coordinator
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 294-4514
SHAYLA JANEE THOMAS RN
Registered Nurse
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 326-6110
EARNEST MOORE
Case Manager/Care Coordinator
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 326-6110
MARY KATHERINE TOCKNELL LSW
Social Worker
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 249-4514
ANEW BEHAVIORAL HEALTH OF ILLINOIS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (866) 534-2639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandi Sheppard's NPI number?

The NPI number for Brandi Sheppard is 1104655158. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Brandi Sheppard located?

Brandi Sheppard practices at 400 E State St Ste D, Athens, OH 45701. The listed phone number is (866) 534-2639.

What is Brandi Sheppard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brandi Sheppard was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.