MR. ADDIS LEE SHEPHERD THERAPIST
NPI 1942783436
Counselor - Mental Health in Elizabethtown, KY

Q: What is Addis Shepherd's NPI number?

The NPI number for Addis Shepherd is 1942783436. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Addis 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 Addis Shepherd was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 11, 2018

THE COMMITMENT HOUSE, 115 PARKWAY DRIVE, ELIZABETHTOWN, KY 42701(270) 900-0373 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, Sep 11, 2018 (2 updates tracked since 2018).

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About Mr. Addis Lee Shepherd Therapist NPPES

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

MR. ADDIS LEE SHEPHERD THERAPIST (NPI 1942783436) is an individual mental health provider in Elizabethtown, Kentucky, licensed in Kentucky (275079) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1942783436

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. ADDIS LEE SHEPHERDCredential: THERAPIST

Location AddressTHE COMMITMENT HOUSE, 115 PARKWAY DRIVEElizabethtown, KY 42701-7827

Mailing Address902 Winchester BlvdElizabethtown, KY 42701-9167 · (270) 325-1027 · Fax (270) 765-2557

Phone(270) 900-0373

Sole ProprietorNo

Enumeration DateSeptember 11, 2018

Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration

NPPES CertifiedDecember 20, 2023

✔ NPI 1942783436 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 KY · 275079

THE COMMITMENT HOUSE, Elizabethtown, KY 42701

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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 Addis Shepherd's NPI number?

The NPI number for Addis Shepherd is 1942783436. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Addis Shepherd located?

Addis Shepherd practices at The Commitment House 115 Parkway Drive, Elizabethtown, KY 42701. The listed phone number is (270) 900-0373.

What is Addis Shepherd'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 Addis Shepherd was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.