JESSICA RAE SHEPARD
NPI 1760130777
Counselor - Mental Health in Bath, NY

Active since March 17, 2022
115 LIBERTY ST, BATH, NY 14810(607) 324-2483 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Rae Shepard NPPES

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

JESSICA RAE SHEPARD (NPI 1760130777) is an individual mental health provider in Bath, New York, licensed in New York (P114126) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1760130777
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA RAE SHEPARD
Location Address115 LIBERTY STBath, NY 14810-1508
Mailing Address115 Liberty StBath, NY 14810-1508
Sole ProprietorNo
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1760130777 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 NY · P114126
115 LIBERTY ST, Bath, NY 14810

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.

Social Worker (Clinical)
115 LIBERTY ST
BATH, NY 14810
Counselor (Addiction (Substance Use Disorder))
115 LIBERTY ST
BATH, NY 14810
Counselor (Addiction (Substance Use Disorder))
115 LIBERTY ST
BATH, NY 14810
Social Worker (Clinical)
115 LIBERTY ST
BATH, NY 14810
Counselor (Mental Health)
115 LIBERTY ST
BATH, NY 14810
Counselor (Mental Health)
115 LIBERTY ST
BATH, NY 14810
Registered Nurse
115 LIBERTY ST
BATH, NY 14810
Social Worker
115 LIBERTY ST
BATH, NY 14810

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 Jessica Shepard's NPI number?

The NPI number for Jessica Shepard is 1760130777. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Jessica Shepard located?

Jessica Shepard practices at 115 Liberty St, Bath, NY 14810. The listed phone number is (607) 324-2483.

What is Jessica Shepard'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 Jessica Shepard was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.