KASSONDRA JACKIE SHEPPARD
NPI 1407144926
Counselor - Mental Health in Santa Cruz, CA

Q: What is Kassondra Sheppard's NPI number?

The NPI number for Kassondra Sheppard is 1407144926. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Q: What is Kassondra Sheppard's specialty?

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

Active since July 18, 2011

126 FRONT ST, A, SANTA CRUZ, CA 95060(831) 427-9343 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kassondra Jackie Sheppard NPPES

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

KASSONDRA JACKIE SHEPPARD (NPI 1407144926) is an individual mental health provider in Santa Cruz, California and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1407144926

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKASSONDRA JACKIE SHEPPARD

Location Address126 FRONT ST, ASanta Cruz, CA 95060-4402

Mailing Address2115 7th AveSanta Cruz, CA 95062-1663 · (831) 420-0120

Phone(831) 427-9343

Sole ProprietorYes

Enumeration DateJuly 18, 2011

✔ NPI 1407144926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

126 FRONT ST, Santa Cruz, CA 95060

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Other Identifiers 2

Other44AVCA · Fs Res Mhss

MedicaidMEDI-CAL PRV NBRCA

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. GINA MATTHEWS

Counselor (Mental Health)