Active NPI
Rhonda L. Shepherd, LCSWA, LCAS, CCS
- Counselor
- Winston Salem, NC
National Provider Identifier
1013264902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P018825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-2859 | NC | MD | Counselor |
| P018825 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waves of Hope, LLC | Current | Accepting new patients | |
| Give Grace Youth & Family Counseling, PLLC | Counselor | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winston Salem, NC
- NPI 1932093580
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1336710979
Counselor
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.