MS. SHACOLBY J DEDMOND MED, LPC
NPI 1992460356
Counselor - Professional in Katy, TX

Q: What is Shacolby Dedmond's NPI number?

The NPI number for Shacolby Dedmond is 1992460356. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Q: What is Shacolby Dedmond's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shacolby Dedmond was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 November 01, 2021PECOS EnrolledAccepts Medicare Assignment

24275 KATY FWY STE 410, KATY, TX 77494(855) 501-1004(844) 708-1274 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Jul 29, 2024, Nov 1, 2021 (3 updates tracked since 2021).

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About Ms. Shacolby J Dedmond Med, Lpc NPPES

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

MS. SHACOLBY J DEDMOND MED, LPC (NPI 1992460356) is an individual professional provider in Katy, Texas, licensed in Texas (82698) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992460356

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. SHACOLBY J DEDMONDCredential: MED, LPC

Location Address24275 KATY FWY STE 410Katy, TX 77494-7267

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954

Phone(855) 501-1004

Fax(844) 708-1274

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 1, 2021

Last NPPES UpdateApril 17, 20263 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1992460356 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 TX · 82698

24275 KATY FWY STE 410, Katy, TX 77494

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Secondary Practice Locations 2

Location 16300 West Loop S Ste 110Bellaire, TX 77401-2919 · Phone (832) 924-0348 · Fax (832) 852-5754

Location 21160 Dairy Ashford Rd Ste 601Houston, TX 77079-3022 · Phone (281) 645-5264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, 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

Ms. Shacolby J Dedmond Med, Lpc 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 ID8325482730

PECOS Enrollment IDI20240213004363

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.

Other Providers at the Same Location NPPES 9

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

KARI LYNNE ALANIS LCSW

Social Worker (Clinical)