Individual provider Active NPI

Shojuana Watson, LPC

  • Professional Counselor
  • Mechanicsville, VA
National Provider Identifier
1083288237
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
9157 Atlee Rd
Mechanicsville, VA 23116-2504
Phone
(860) 428-6187
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701009930 VA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

9157 Atlee Rd
Mechanicsville, VA 23116-2504

Mailing address

2452 Marions LN
Glen Allen, VA 23060-4000
Phone (860) 428-6187

Other practice location 1

2452 Marions Ln
Glen Allen, VA 23060-4000
Phone (860) 428-6187

Other names 1

  • Shojuana Ayers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240518000442 VA Practitioner - Mental Health Counselor 7315388576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Health and Integrative CareGroup PAC ID 3072986439, 5 clinicians

Practice addresses (Care Compare)

6131 James Madison Pkwy
King George, VA 22485-5351
Phone (571) 505-1744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In the Midst Counseling & Consulting, LLC Professional CurrentSince Oct 24, 2021 Accepting new patients
Vital Health & Integrative Care CurrentSince Apr 1, 2024 Accepting new patients
Alicia'S Place Past Accepting new patients

Locations

6131 James Madison Pkwy
King George, VA 22485
Phone (571) 505-1744

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1083288237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 MARIONS LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604000",
            "telephone_number": "860-428-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162504",
            "telephone_number": "860-428-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2452 Marions Ln",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230604000",
            "country_code": "US",
            "telephone_number": "860-428-6187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHOJUANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009930",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOJUANA",
            "last_name": "AYERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.