Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shantale Etheridge

Individual provider Professional Counselor · NPI 1801338538

Shantale Etheridge is a Mental Health Counselor in Killeen, Texas. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
22
Licensed in
MS
In the registry since
2016
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Practice location Address checks out

2403 W Stan Schlueter Loop Unit 690125
Killeen, TX 76549-0206
Phone: (254) 499-2905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1920 (MS)

Record details

NPI number1801338538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 11, 2016
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address2403 W Stan Schlueter Loop Unit 690125, Killeen, TX 76549-0206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Killeen