Shawn Denise Roberson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7721 Issued in NC

Practice address

615 St George Square CT
Suite 300
Winston Salem, NC 27103-1365

Phone

(336) 701-2713

NPI assigned

Aug 17, 2007

Last updated

Aug 29, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sunshine Counseling & Consulting Services PLLC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1275382475
  NPD Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1093907636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 HEATHROW DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274672",
            "telephone_number": "336-391-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ST GEORGE SQUARE CT",
            "address_2": "SUITE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031365",
            "telephone_number": "336-701-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7670 N Point Ct",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063336",
            "country_code": "US",
            "telephone_number": "336-701-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "SHAWN",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Thomas Robbins, MD
• John Jay Robbins, P.A.
• Anna Roberge, CCC-SLP
• Donna Lucille Roberson, MS, LCAS
• Nisaa D'Metri Aaliyah Roberson
• Robert M. Wilkinson, Jr., D.D.S., P.a.
• Laurel Parker Robert
• Roberts & Associates - Greensboro PLLC (Triad Orthodontics)
• Roberts & Lo PLLC
• Asher Reuel Roberts

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.