Shannell Lucas, LCMHC, LCAS, CCS, QS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11087 Issued in NC

Practice address

3816 N Elm St Ste C
Greensboro, NC 27455-2776

Phone

(336) 545-5995

Fax

(336) 545-5996

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Shannell Lucas-Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akachi Solution, LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1295223535

  Mental Health

  NPD Authorized official
• Guess Community Services,Inc.

  • Case Management Agency
  • Greensboro, NC
  • NPI 1316269186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1003221318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 N ELM ST STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552776",
            "telephone_number": "336-545-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 N ELM ST STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552776",
            "telephone_number": "336-545-5995",
            "fax_number": "336-545-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHANNELL",
        "credential": "LCMHC, LCAS, CCS, QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20858",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11087",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00118288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNELL",
            "last_name": "LUCAS-MOORE",
            "credential": "CRC, LPC, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Edward Lownes Sr., M.D.
• Janie Katherine Lozovski, DO
• Lucas Exceptional Healthcare and Consultation PLLC
• Latoya Davis Lucas, NP
• Rhiannon Lucas, RN
• Tiffany Nechelle Lucas, FNP
• Christie Ann Lucey, PA-C
• Alvin J Lue, MD
• Victoria Mae Lukawski, LCMHC
• Haley Luke

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.