SCOTT A SHEPHERD HUMAN SERVICES COORD
NPI 1821229576
Counselor - Mental Health in Moncks Corner, SC

Q: What is Scott Shepherd's NPI number?

The NPI number for Scott Shepherd is 1821229576. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Q: What is Scott Shepherd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Shepherd was last updated on January 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 29, 2009PECOS EnrolledAccepts Medicare Assignment

403 STONEY LANDING ROAD, MONCKS CORNER, SC 29461(843) 761-8282(843) 761-7308 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Scott A Shepherd Human Services Coord NPPES

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

SCOTT A SHEPHERD HUMAN SERVICES COORD (NPI 1821229576) is an individual mental health provider in Moncks Corner, South Carolina, licensed in North Carolina (7367) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1821229576

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSCOTT A SHEPHERDCredential: HUMAN SERVICES COORD

Location Address403 STONEY LANDING ROADMoncks Corner, SC 29461-3967

Mailing Address403 Stoney Landing RoadMoncks Corner, SC 29461-3967 · (843) 761-8282 · Fax (843) 761-7308

Phone(843) 761-8282

Fax(843) 761-7308

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 29, 2009

Last NPPES UpdateJanuary 13, 2011

✔ NPI 1821229576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 7367

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00082652 (NC)

403 STONEY LANDING ROAD, Moncks Corner, SC 29461

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Other Identifiers 1

Medicaid6005782NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Providence Health Plan, 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

Scott A Shepherd Human Services Coord 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 ID3870092612

PECOS Enrollment IDI20250818004238

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.

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Other Providers at the Same Location NPPES 13

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

MS. OLIVIA RACHEL WARD LPC

Counselor (Professional)