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SHAE PETRUSKY LPC
NPI 1114468956
Counselor - Mental Health in Richardson, TX

Active since March 13, 2017
1001 E LOOKOUT DR, RICHARDSON, TX 75082(972) 766-4387 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2023, Mar 13, 2017 (2 updates tracked since 2017).

About Shae Petrusky Lpc NPPES

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

SHAE PETRUSKY LPC (NPI 1114468956) is an individual mental health provider in Richardson, Texas, licensed in Texas (73232) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1114468956
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAE PETRUSKYCredential: LPC
Location Address1001 E LOOKOUT DRRichardson, TX 75082-4144
Mailing Address1001 E Lookout DrRichardson, TX 75082-4144 · (972) 766-4387
Phone(972) 766-4387
Sole ProprietorNo
Enumeration DateMarch 13, 2017
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1114468956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 73232
1001 E LOOKOUT DR, Richardson, TX 75082
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Other Providers at the Same Location NPPES 18

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

ELIZABETH PAIGE SIMPSON
Counselor (Mental Health)
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-5371
DR. ELISABETH TROFFO FOUNTAIN PSYD, BCBA-D
Psychologist
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-4470
JOSEPH ALVAREZ LCSW
Social Worker (Clinical)
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (347) 457-2084
TARYN RANSLEM
Counselor
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-6890
JOHNELLA MANUEL PHARMD
Pharmacist
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-1114
JESSICA ASHLEE BIRCHWELL LCSW
Social Worker (Clinical)
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-0164
MRS. AMANDA DENISE BASS LPC
Counselor (Mental Health)
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-6900
LANH PHAN PHARMD
Pharmacist
1001 E LOOKOUT DR
RICHARDSON, TX 75082
Dallas County (972) 766-5743

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 Shae Petrusky's NPI number?

The NPI number for Shae Petrusky is 1114468956. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Where is Shae Petrusky located?

Shae Petrusky practices at 1001 E Lookout Dr, Richardson, TX 75082. The listed phone number is (972) 766-4387.

What is Shae Petrusky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shae Petrusky was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.