Active NPI
Joseph D Shelton, LPC
- Professional Counselor
- Danville, VA
National Provider Identifier
1053004143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011341
- Practice address
- 480 Mount Cross Rd
Danville, VA 24540-4000 - Phone
- (513) 834-7063
- NPI assigned
- Jun 2, 2023
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0701011341 | VA | |
| Mental Health Counselor | 101YM0800X | 0701011341 | VA | |
| Professional Counselor | 101YP2500X | 0701011341 | VA | Primary |
Addresses
Primary practice location
480 Mount Cross Rd
Danville, VA 24540-4000
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other practice location 1
1045 Main St Ste 6
Danville, VA 24541-1800
Phone (434) 835-2370
Other names 1
- Joe D Shelton
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 |
|---|---|---|---|
| 0701011341 | VA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1053004143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MOUNT CROSS RD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245404000",
"telephone_number": "513-834-7063"
}
],
"practiceLocations": [
{
"address_1": "1045 Main St Ste 6",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "VA",
"postal_code": "245411800",
"country_code": "US",
"telephone_number": "434-835-2370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELTON",
"first_name": "JOSEPH",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-02",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0701011341",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701011341",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "SHELTON",
"middle_name": "D",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.