Individual provider Active NPI

Shawn Parker, CRC, LPC-A

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1134591449
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11851 Issued in NC
Practice address
3007 Quail Oaks Dr
Greensboro, NC 27405-2944
Phone
(336) 255-3513
Fax
(336) 728-4355
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11851 NC Primary

Addresses

Primary practice location

3007 Quail Oaks Dr
Greensboro, NC 27405-2944

Mailing address

3007 Quail Oaks Dr
Greensboro, NC 27405-2944
Phone (336) 255-3513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260122001179 NC Practitioner - Mental Health Counselor 8921585803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

149 Fairhaven Dr
Bostic, NC 28018-8759
Phone (336) 245-9095

4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11851NCMDMental Health Counselor
11851NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of North Carolina PLLC CurrentSince Jan 6, 2026 Accepting new patients
Physicians Eldercare PA CurrentSince Jan 6, 2026 Accepting new patients

Locations

149 Fairhaven Dr
Bostic, NC 28018
Phone (336) 245-9095

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1134591449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 QUAIL OAKS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052944",
            "telephone_number": "336-255-3513",
            "fax_number": "336-728-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 QUAIL OAKS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052944",
            "telephone_number": "336-255-3513",
            "fax_number": "336-728-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SHAWN",
        "credential": "CRC, LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.