Individual provider Active NPI

Rhonda L. Shepherd, LCSWA, LCAS, CCS

  • Counselor
  • Winston Salem, NC
National Provider Identifier
1013264902
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
P018825 Issued in NC
Practice address
4045 University Pkwy Ste 230
Winston Salem, NC 27106-3755
Phone
(336) 972-9947
Fax
(774) 486-7630
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCAS-2859 NC
Counselor 101Y00000X P018825 NC Primary

Addresses

Primary practice location

4045 University Pkwy Ste 230
Winston Salem, NC 27106-3755

Mailing address

4948 Germanton Rd
Winston Salem, NC 27105-2221
Phone (336) 972-9947

Other practice location 1

3111 Maplewood Ave Ste 107
Winston Salem, NC 27103-3906
Phone (336) 722-9592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-2859NCMDCounselor
P018825NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waves of Hope, LLC CurrentSince Jun 8, 2025 Accepting new patients
Give Grace Youth & Family Counseling, PLLC Counselor CurrentSince Jan 19, 2025 Accepting new patients

Locations

1400 Old Mill Cir
Ste A
Winston Salem, NC 27103
Phone (336) 893-7742

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1013264902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 GERMANTON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052221",
            "telephone_number": "336-972-9947",
            "fax_number": "336-725-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 UNIVERSITY PKWY STE 230",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063755",
            "telephone_number": "336-972-9947",
            "fax_number": "774-486-7630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Maplewood Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033906",
            "country_code": "US",
            "telephone_number": "336-722-9592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "RHONDA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSWA, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LCAS-2859",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "P018825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.