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

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: November 08, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11160 Dairy Ashford Rd Ste 601Houston, TX 77079-3022 · Phone (281) 645-5264
Location 26300 West Loop S Ste 110Bellaire, TX 77401-2919 · Phone (832) 924-0348 · Fax (832) 852-5754

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shacolby Dedmond reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellaire Ellie Clinic PC
20 mi
Mental Health
6300 WEST LOOP S STE 110
Bellaire, TX 77401
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1487372132 (832) 924-0348
Mark David Levine, MD Psychiatrists Professional Corporation
237 mi
Psychiatry
2801 NETWORK BLVD STE 220
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 39 clinicians in this Medicare group
NPI 1841626447 (916) 576-7898
Mindpath Health Texas PLLC
237 mi
Psychiatry
2801 NETWORK BLVD STE 220
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
NPI 1073482105 (855) 501-1004

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 16

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

KARI LYNNE ALANIS LCSW
Social Worker (Clinical)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (713) 913-1645
DONESHA TINSLEY OBASEKI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (855) 501-1004
DR. BRIAN ZACHARIAH M.D.
Psychiatry & Neurology (Psychiatry)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (877) 504-8504
ADENIKE ADIGUN M.D, MPH
Psychiatry & Neurology (Psychiatry)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (877) 504-8504
DR. ASHOK PAPARAO YERRAMSETTI M.D.
Psychiatry & Neurology (Psychiatry)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (855) 501-1004
KIANA NICOLE SHELTON
Social Worker (Clinical)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (855) 501-1004
RAMANA SURYA DO
Psychiatry & Neurology (Psychiatry)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (855) 501-1004
DR. SIREESHA CHIMATA MD
Psychiatry & Neurology (Psychiatry)
24275 KATY FWY STE 410
KATY, TX 77494
Fort Bend County (855) 501-1004

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 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.

Where is Shacolby Dedmond located?

Shacolby Dedmond practices at 24275 Katy Fwy Ste 410, Katy, TX 77494. The listed phone number is (855) 501-1004.

What is Shacolby Dedmond's specialty?

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

Is Shacolby Dedmond enrolled in Medicare?

Yes. Shacolby Dedmond is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shacolby Dedmond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shacolby Dedmond reassigns Medicare benefits to 3 organizations: Bellaire Ellie Clinic PC (Bellaire, TX), Mark David Levine, MD Psychiatrists Professional Corporation (Frisco, TX) and Mindpath Health Texas PLLC (Frisco, TX). Each 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 Shacolby Dedmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shacolby Dedmond 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 4 other insurers list Shacolby Dedmond 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 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 6 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.