Shannon Steve Childers
Individual provider Active NPI Mental Health Counselor · Hiddenite, NC
NPI 1104707033 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1104707033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 105 Hiddenite Church Rd
Hiddenite, NC 28636-8168 - Phone
- (828) 999-2768
- NPI assigned
- Sep 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | NC | Yes |
Addresses
Primary practice location
105 Hiddenite Church Rd
Hiddenite, NC 28636-8168
Mailing address
709 Daniels Lumber Rd
Taylorsville, NC 28681-3394
Phone (828) 216-4290
Other practice location 1
75 1st St SW
Taylorsville, NC 28681-2558
Phone (828) 502-8296 ext. 1721
Other providers in Hiddenite, NC
- Alexander Wellness Path PLLC
- Valerie Andersen
- Lydia Walker Bumgarner
- Alishia Monique Clark
- Counseling and Support Associates, PC
- Emma Danielle Hiott
- Cathleen C Johnstone
- Laura Quinn
All providers in Hiddenite, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.