Individual provider Active NPI

Shemecka Renee Ward, LPC

  • Professional Counselor
  • Lovingston, VA
National Provider Identifier
1083326698
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011976 Issued in VA
Practice address
71 Tanbark PLZ
Lovingston, VA 22949-2464
Phone
(434) 263-4889
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 0701011976 VA Primary

Addresses

Primary practice location

71 Tanbark PLZ
Lovingston, VA 22949-2464

Mailing address

404 Three Creeks CT # a
Lynchburg, VA 24502-4580
Phone (434) 448-0850

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
I20240306003252 VA Practitioner - Mental Health Counselor 2567808041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Region Ten Community Community Services BoardGroup PAC ID 3971401308, 18 clinicians

Practice addresses (Care Compare)

71 Tan Bark Plaza
Lovingston, VA 22949
Phone (434) 263-4889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Region Ten Community Community Services Board CurrentSince Jan 1, 2024 Accepting new patients

Locations

800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624

500 Old Lynchburg Rd
Charlottesvle, VA 22903
Phone (434) 972-1800

71 Tanbark Plz
Lovingston, VA 22949
Phone (434) 263-4000

Organizations & group practices 1

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1083326698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 THREE CREEKS CT # A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024580",
            "telephone_number": "434-448-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 TANBARK PLZ",
            "city": "LOVINGSTON",
            "state": "VA",
            "postal_code": "229492464",
            "telephone_number": "434-263-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHEMECKA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovingston, VA

Sources for this page

Verify at the official NPI Registry.