LARA CONRAD-SHEARBURN PHD
NPI 1972905750
Psychologist in San Antonio, TX

Active since September 23, 2014PECOS Enrolled
1919 OAKWELL FARMS PKWY STE 138, SAN ANTONIO, TX 78218(210) 819-5941 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lara Conrad-shearburn Phd NPPES

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

LARA CONRAD-SHEARBURN PHD (NPI 1972905750) is an individual psychologist in San Antonio, Texas, licensed in Texas (38931) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada, Las Vegas School Of Medicine (2013).

NPPES Registry Identity

NPI1972905750
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLARA CONRAD-SHEARBURNCredential: PHD
Location Address1919 OAKWELL FARMS PKWY STE 138San Antonio, TX 78218-1725
Mailing Address1919 Oakwell Farms Pkwy Ste 138San Antonio, TX 78218-1725 · (210) 819-5941
Sole ProprietorNo
Medical School CMSUniversity Of Nevada, Las Vegas School Of MedicineGraduated 2013
Enumeration DateSeptember 23, 2014
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1972905750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in TX · 38931✔ Licensed in NV · PY0838✔ Licensed in MD · 05598
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1919 OAKWELL FARMS PKWY STE 138, San Antonio, TX 78218

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Conrad-shearburn Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113419466
PECOS Enrollment IDI20251124002619
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.

Medicare Billing Reassignment

Medicare enrollment records show Lara Conrad-shearburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
13300 OLD BLANCO RD STE 180
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Clinic/Center (Adolescent and Children Mental Health)
1919 OAKWELL FARMS PKWY STE 138
SAN ANTONIO, TX 78218

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 Lara Conrad-shearburn's NPI number?

The NPI number for Lara Conrad-shearburn is 1972905750. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Lara Conrad-shearburn located?

Lara Conrad-shearburn practices at 1919 Oakwell Farms Pkwy Ste 138, San Antonio, TX 78218. The listed phone number is (210) 819-5941.

What is Lara Conrad-shearburn's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lara Conrad-shearburn enrolled in Medicare?

Yes. Lara Conrad-shearburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lara Conrad-shearburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Conrad-shearburn reassigns Medicare benefits to Stonebridge Behavioral Health, P.A. (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lara Conrad-shearburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lara Conrad-shearburn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Lara Conrad-shearburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lara Conrad-shearburn was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.