MEDICARE: CHLOE SHEPHERD LMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	88003151A	IN

General Provider Information

NPI Number	:	1386505170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE SHEPHERD LMHCA

Provider Business Mailing Address
First Line	:	2520 CALIFORNIA ST STE D
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-3677
Country	:	US
Telephone Number	:	812-301-6573
Fax Number	:	812-301-6574

Provider Business Practice Location Address
First Line	:	2520 CALIFORNIA ST STE A
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-3677
Country	:	US
Telephone Number	:	812-301-6573
Fax Number	:	812-301-6574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	01/06/2026

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