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Active NPI 1689765125 Individual Practitioner Male Practitioner

Robert K Shupe , LPC

Counselor - Professional • Henderson, TX

Professional Overview & Biography Verified Profile Summary

Robert Shupe, LPC is a certified Counselor - Professional practicing in Henderson, TX. With approximately 33 years of clinical experience since completing medical education in 1993, Robert Shupe delivers high-quality medical care to the local community at 1103 WILSON ST.

Robert Shupe does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1103 Wilson St

Henderson, TX 756526077

Telephone 9036550123
Fax 9037222624
Associated Practice Facility / Clinic
🏢 Counseling Services, Pllc Facility NPI 1467863407

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Henderson, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +2.5 yrs vs City Avg
City Avg: 30.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Henderson, TX (21203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shupe (33 Years) 33 Yrs
Henderson Specialty Average (30.5 Years) 30.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 16000

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License TX 16000

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
163211901 (TX)
Commercial Insurance / Payer ID Chip
123757 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
840006 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Donna Mason , LPC

Counselor - Mental Health

NPI 1043379761

Licensed Professional Counselor

Sheri Mullican , LPC

Counselor - Professional

NPI 1720355639

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 12, 2024

Registered at 1103 WILSON ST, HENDERSON, TX 756526077 (Tel: 9036550123)

📍
Updated Business Mailing Address June 12, 2024

Registered at 3406 LARKSPUR LN, KILGORE, TX 756624221 (Tel: 9037048589)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2024

Counselor (License #16000 in TX)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 STONE ROAD, SUITE 102, KILGORE, TX 756625494 (Tel: 9039869114)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 STONE ROAD, SUITE 102, KILGORE, TX 756625494 (Tel: 9039869114)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SHUPE, LPC

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

Counselor (License #16000 in TX)

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689765125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: June 12, 2024
Sole Proprietor: No

Mailing Address

3406 Larkspur Ln

Kilgore, TX 756624221

Phone: 9037048589

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.