Individual provider Active NPI

Shana Noell Roberts

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1023686375
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016523 Issued in NC
Practice address
119 Tunnel Rd Ste F
Asheville, NC 28805-1869
Phone
(855) 363-7325
NPI assigned
Jun 14, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-26994 NC
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X P016523 NC Primary

Addresses

Primary practice location

119 Tunnel Rd Ste F
Asheville, NC 28805-1869

Mailing address

119 Tunnel Rd Ste F
Asheville, NC 28805-1869
Phone (828) 620-1269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000792 NC Practitioner - Mental Health Counselor 2769823749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-26994NCMDAddiction (Substance Use Disorder) Counselor
P016523NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc CurrentSince Mar 25, 2024 Accepting new patients
Rha Health Services, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Real Recovery of Asheville, Inc. PastSince Jun 22, 2021 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Ste 200
Asheville, NC 28801
Phone (828) 228-7512

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1023686375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD STE F",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051869",
            "telephone_number": "828-620-1269",
            "fax_number": "828-774-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD STE F",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051869",
            "telephone_number": "855-363-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHANA",
        "middle_name": "NOELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26994",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.