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MRS. DEMETRIOUS THOMAS SHEPARD LPC
NPI 1477618098
Counselor - Professional in Jacksonville, NC

Active since December 26, 2006
824 GUM BRANCH RD STE E, JACKSONVILLE, NC 28540(910) 327-1694(910) 347-3694 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Demetrious Thomas Shepard Lpc NPPES

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

MRS. DEMETRIOUS THOMAS SHEPARD LPC (NPI 1477618098) is an individual professional provider in Jacksonville, North Carolina, licensed in North Carolina (4611) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1477618098
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DEMETRIOUS THOMAS SHEPARDCredential: LPC
Location Address824 GUM BRANCH RD STE EJacksonville, NC 28540-6270
Mailing Address520 Old Chadwick LaneJacksonville, NC 28540 · (910) 347-1694 · Fax (910) 347-3694
Phone(910) 327-1694
Fax(910) 347-3694
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 31, 2012
✔ NPI 1477618098 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 NC · 4611
824 GUM BRANCH RD STE E, Jacksonville, NC 28540
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Other Identifiers 2

Medicaid6102002NC
Other1378XNC · Bcbs

Other Providers at the Same Location NPPES

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

HEALING HEARTS THERAPEUTIC SERVICES, INC
Counselor (Addiction (Substance Use Disorder))
824 GUM BRANCH RD STE E
JACKSONVILLE, NC 28540
Onslow County (910) 347-1694

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 Demetrious Shepard's NPI number?

The NPI number for Demetrious Shepard is 1477618098. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Demetrious Shepard located?

Demetrious Shepard practices at 824 Gum Branch Rd Ste E, Jacksonville, NC 28540. The listed phone number is (910) 327-1694.

What is Demetrious Shepard's specialty?

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

When was this NPI record last updated?

The NPPES record for Demetrious Shepard was last updated on July 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.