Individual provider Active NPI

Shelby Gabello, MS, NCC, LPC

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1154965861
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12547 Issued in NC
Practice address
520A Arbor Hill Rd
Kernersville, NC 27284-3346
Phone
(336) 283-3830
NPI assigned
Nov 5, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 12547 NC Primary

Addresses

Primary practice location

520A Arbor Hill Rd
Kernersville, NC 27284-3346

Mailing address

520A Arbor Hill Rd
Kernersville, NC 27284-3346
Phone (336) 283-3830

Other practice location 1

851 Old Winston Rd Ste 106
Kernersville, NC 27284-8781
Phone (919) 417-4462

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
I20260515000772 NC Practitioner - Mental Health Counselor 0345719696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 N Main St
Suite 210
Kernersville, NC 27284-4003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12547NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kernersville Counseling Center PLLC CurrentSince Apr 30, 2026 Accepting new patients

Locations

1180 N Main St
Kernersville, NC 27284
Phone (336) 283-3820

210 N Main St
Ste 210
Kernersville, NC 27284
Phone (336) 238-3830

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1154965861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520A ARBOR HILL RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843346",
            "telephone_number": "336-283-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520A ARBOR HILL RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843346",
            "telephone_number": "336-283-3830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Old Winston Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272848781",
            "country_code": "US",
            "telephone_number": "919-417-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABELLO",
        "first_name": "SHELBY",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.