Individual provider Active NPI

Shannon Prince Nelmes, LPC

  • Professional Counselor
  • Rock Hill, SC
National Provider Identifier
1053479808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4052 Issued in SC
Practice address
454 S Anderson Rd
Box 583
Rock Hill, SC 29730-3392
Phone
(803) 517-7363
Fax
(803) 366-2037
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4052 SC Primary

Addresses

Primary practice location

454 S Anderson Rd
Box 583
Rock Hill, SC 29730-3392

Mailing address

454 S Anderson Rd
Box 583
Rock Hill, SC 29730-3392
Phone (803) 517-7363

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053479808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 S ANDERSON RD",
            "address_2": "BOX 583",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "803-517-7363",
            "fax_number": "803-366-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 S ANDERSON RD",
            "address_2": "BOX 583",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "803-517-7363",
            "fax_number": "803-366-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMES",
        "first_name": "SHANNON",
        "middle_name": "PRINCE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.