Active NPI
Shine Behavioral Health & Wellness
- Clinical Social Worker
- Greenville, NC
National Provider Identifier
1164336749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SHINE BEHAVIORAL HEALTH & WELLNESS
- Practice address
- 3219 Landmark St BLDG 6
Greenville, NC 27834-7688 - Phone
- (914) 882-2470
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lashaunda A Gilbert, LCSW-A
- Title
- Owner
- Phone
- (914) 882-2470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
3219 Landmark St BLDG 6
Greenville, NC 27834-7688
Mailing address
3733 Ashcroft Dr
Winterville, NC 28590-9586
Phone (914) 882-2470
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Tarboro, NC
- NPI 1154160901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1164336749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 ASHCROFT DR",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909586",
"telephone_number": "914-882-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 LANDMARK ST BLDG 6",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347688",
"telephone_number": "914-882-2470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHINE BEHAVIORAL HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "LASHAUNDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-882-2470",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW-A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.