Shavolkia Chante McAdams, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10022 Issued in SC

Practice address

103 Lydia St
Greenville, SC 29605-1240

Phone

(864) 405-3044

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recreate Life

  • Professional Counselor
  • Pendleton, SC
  • NPI 1790632669
  NPD Authorized official
• Recreate Life, LLC

  • Professional Counselor
  • Greenville, SC
  • NPI 1063344224
  NPD Authorized official
• Radial Health Florida, P.a.

  • Psychiatry Physician
  • New York, NY
  • NPI 1285426874

  SC

  Medicare reassignment
• Universal Therapeutic Services, LLC.

  • Community/Behavioral Health Agency
  • Greenville, SC
  • NPI 1285146613
  NPD
• Universal Therapeutic Services, LLC.

  • Behavior Analyst
  • Greenville, SC
  • NPI 1902589625
  NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1093544785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 OLDEN PORTER RD",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296708926",
            "telephone_number": "864-958-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LYDIA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051240",
            "telephone_number": "864-405-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Woodside Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296114221",
            "country_code": "US",
            "telephone_number": "864-958-0474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5342 Olden Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "SC",
            "postal_code": "296708926",
            "country_code": "US",
            "telephone_number": "864-958-0474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "SHAVOLKIA",
        "middle_name": "CHANTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Mazanec, M.D.
• Rachael Sarah Mazzamurro, MD
• William Joseph Mazzella, MD
• Vanessa A Mazzoli, M.D.
• Linda Woods McAbee, PHARMACIST
• McAlister Court Spine & Rehab
• Blair Sanders McAlister, FNP-C
• Gabriel Mitchell McAlister, CRNA
• Hannah Cox McAlister, PA
• Ashley McAllister

• Professional Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.