Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kirk Sheppard , LMHC

Counselor - Professional β€’ Mason, OH

Active NPI 1356495287 Individual Practitioner Male Practitioner
Practice location in NPPES

8118 Corporate Way Ste 175
Mason, OH 450407504

Call 5135368353 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8118 Corporate Way Ste 175

Mason, OH 450407504

Telephone 5135368353
Organization at the Same NPPES Address or Phone
Mind-Body Renewal Therapy Services Llc Facility NPI 1770384240

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mason and Ohio

58 active clinicians are listed under Counselor - Professional with a practice address in Mason, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mason

5.2% of these 58 clinicians have the CMS telehealth indicator.

13.8% of these 58 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.0700338-SUPV
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES IN 39001804A
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Shield
000000492477 (IN)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 02, 2025

Registered at 8118 CORPORATE WAY STE 175, MASON, OH 450407504 (Tel: 5135368353)

πŸ“
Updated Business Mailing Address October 02, 2025

Registered at 208 8TH AVE APT 209, DAYTON, KY 410741452 (Tel: 5135368353)

πŸ“
Updated Practice Location May 03, 2018

Registered at 3333 BURNET AVENUE, ML 6019, CINCINNATI, OH 452293026 (Tel: 5136364124)

πŸ“
Updated Business Mailing Address May 03, 2018

Registered at 3333 BURNET AVENUE, ML 6019, CINCINNATI, OH 452293026 (Tel: 5136364124)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 427 W EADS PKWY, LAWRENCEBURG, IN 470251139 (Tel: 8125373446)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 285 BIELBY RD, LAWRENCEBURG, IN 470251055 (Tel: 8125371302)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KIRK SHEPPARD, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: IN 39001804A)

🟒
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1356495287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: October 02, 2025
Sole Proprietor: Yes

Mailing Address

208 8th Ave Apt 209

Dayton, KY 410741452

Phone: 5135368353

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.