MEDICARE: PARADIGM SHIFT COUNSELING, PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1093394314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARADIGM SHIFT COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	4101 W GREEN OAKS BLVD STE 305-424
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-4462
Country	:	US
Telephone Number	:	682-386-1201
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 W GREEN OAKS BLVD STE 305-424
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-4462
Country	:	US
Telephone Number	:	682-386-1201
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	ANDREA SMITH-LOVE
Credential	:	LPC
Telephone Number	:	817-614-6753

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	02/22/2026

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