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REVA JO SHEPPARD L.P.C.
NPI 1396095469
Counselor - Professional in Fort Worth, TX

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
1533 MERRIMAC CIR, SUITE 101, FORT WORTH, TX 76107(817) 810-0030(817) 877-3562 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Reva Jo Sheppard L.p.c. NPPES

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

REVA JO SHEPPARD L.P.C. (NPI 1396095469) is an individual professional provider in Fort Worth, Texas, licensed in Texas (67149) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396095469
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREVA JO SHEPPARDCredential: L.P.C.
Location Address1533 MERRIMAC CIR, SUITE 101Fort Worth, TX 76107-6506
Mailing Address1533 Merrimac Cir, Suite 101Fort Worth, TX 76107-6506 · (817) 810-0030 · Fax (817) 877-3562
Phone(817) 810-0030
Fax(817) 877-3562
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 14, 2012
✔ NPI 1396095469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 67149
1533 MERRIMAC CIR, Fort Worth, TX 76107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reva Jo Sheppard L.p.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385160761
PECOS Enrollment IDI20250429001450
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Reva Sheppard's NPI number?

The NPI number for Reva Sheppard is 1396095469. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Reva Sheppard located?

Reva Sheppard practices at 1533 Merrimac Cir Suite 101, Fort Worth, TX 76107. The listed phone number is (817) 810-0030.

What is Reva Sheppard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Reva Sheppard enrolled in Medicare?

Yes. Reva Sheppard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Reva Sheppard accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Reva Sheppard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reva Sheppard was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.