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Shannon Marie Trace , MS

Counselor - Professional β€’ Grapevine, TX

Active NPI 1477089506 Individual Practitioner Female Practitioner
Practice location in NPPES

1785 State Highway 26 Ste 200
Grapevine, TX 760512217

Call 8173295049 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

1785 State Highway 26 Ste 200

Grapevine, TX 760512217

Telephone 8173295049
Organization at the Same NPPES Address or Phone
D J Montgomery Enterprise, Llc Facility NPI 1245364686

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

NPI first issued

2017

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 Grapevine and Texas

55 active clinicians are listed under Counselor - Professional with a practice address in Grapevine, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grapevine

0% of these 55 clinicians have the CMS telehealth indicator.

0% of these 55 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: 2026-01-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 74119
Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

License # reported to NPPES TX 202462

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

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: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Practice Location January 28, 2026

Registered at 1785 STATE HIGHWAY 26 STE 200, GRAPEVINE, TX 760512217 (Tel: 8173295049)

πŸ“
Updated Business Mailing Address January 28, 2026

Registered at 1785 STATE HIGHWAY 26 STE 200, GRAPEVINE, TX 760512217

πŸ‘€
Provider Name / Credentials Updated January 28, 2026

Recorded as SHANNON TRACE, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2026

Counselor (license number reported to NPPES: TX 74119)

πŸ‘€
Provider Name / Credentials Updated November 14, 2022

Recorded as SHANNON SHIELS, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2022

Marriage & Family Therapist (license number reported to NPPES: TX 202462)

πŸ“
Updated Practice Location April 17, 2018

Registered at 1701 W NORTHWEST HWY STE 100, GRAPEVINE, TX 760518145 (Tel: 8173295049)

πŸ“
Updated Business Mailing Address April 17, 2018

Registered at 1701 W NORTHWEST HWY STE 100, GRAPEVINE, TX 760518145 (Tel: 8173295049)

πŸ‘€
Provider Name / Credentials Updated April 17, 2018

Recorded as SHANNON SEMERSKY, MS

βœ…
NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2017

Registered at 2142 WEDGEWOOD DR, GRAPEVINE, TX 760516080 (Tel: 4693870203)

πŸ“
Business Mailing Address (Initial Record) May 10, 2017

Registered at 2142 WEDGEWOOD DR, GRAPEVINE, TX 760516080

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2017

Recorded as SHANNON SEMERSKY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Counselor (license number reported to NPPES: TX 74119)

🟒
Initial NPI Registration & Enumeration May 10, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477089506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2017
Last Update: January 28, 2026
Sole Proprietor: Yes

Mailing Address

1785 State Highway 26 Ste 200

Grapevine, TX 760512217

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.