Shanique Keyes Nixon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21998 Issued in NC

Practice address

1263 Windsong Dr
Greenville, NC 27858-9750

Phone

(252) 236-1011

NPI assigned

Jun 24, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1013833037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 WINDSONG DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589750",
            "telephone_number": "252-236-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 WINDSONG DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589750",
            "telephone_number": "252-236-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "SHANIQUE",
        "middle_name": "KEYES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "A31268",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Amedeo Nicolosi
• Drew Nielsen, MD
• Elizabeth Anne Nielsen, NNP
• Leslie Wiley Nifong, M.D.
• Brittany Shantel Nixon
• NMB LLC
• NMB LLC
• Noacin, Inc.
• Noacin,Inc
• Laura Kay Nobles, MS, LPC

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, 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 Jun 24, 2026; 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.