Victoria Lynn Shields, M.DIV., M.ED., LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1709 Legion Rd
Suite 112
Chapel Hill, NC 27517-2375

Phone

(919) 903-6167

NPI assigned

Jun 18, 2012

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)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1053674960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 112",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-903-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 112",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-903-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.DIV., M.ED., LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth T Sherwood, NP
• Jennifer Kathleen Sherwood, D.C.
• Pragna N Shetty, MD, MPH
• Shi-Orange, LLC
• Frank W Shields IV, MD
• Mary Elizabeth Bryant Shilliday, PHARMD
• Yael Shiloh-Malawsky, M.D.
• Shin and Kim, DDS, PLLC
• Jaclyn Benthall Shipley, CRNA
• Anna Shirk

• Addiction (Substance Use Disorder) Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.