Shirley A. Bird, M.A., LPC, LPC#1015

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1015 Issued in NC

Practice address

325 Matthews Mint Hill Rd Ste 102
Matthews, NC 28105-2889

Phone

(704) 819-3288

Fax

(704) 372-1055

NPI assigned

Jun 15, 2011

Last updated

Mar 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mandy Bird Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1023303369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 RUTH ST",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797578",
            "telephone_number": "704-819-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MATTHEWS MINT HILL RD STE 102",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052889",
            "telephone_number": "704-819-3288",
            "fax_number": "704-372-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "SHIRLEY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, LPC#1015",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "BIRD",
            "credential": "LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Garret Michael Biese, PT, DPT, CERT. MDT
• Kevin Dwayne Bigham, OD
• Anita Binder, MD
• Robert F Binkley Jr., DDS, PA
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Matthews)
• Lisa A Bivens, LCMHCA
• Kayleigh Bizjack
• Sladjana Bjelac, DDS
• Black Optometric Eye Associates,PA
• Cristian Black, LAT, ATC

• Mental Health Counselor in Matthews, NC
• Providers in Matthews, 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 7, 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.