Active NPI
Cierra Destiny McShine, LPC, DMIN, MACMHC
- Professional Counselor
- Fredericksburg, VA
National Provider Identifier
1174427207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701016923
- Practice address
- 6308 Five Mile Centre Park Ste 217
Fredericksburg, VA 22407-5508 - Phone
- (540) 642-0883
- Fax
- (540) 642-0884
- NPI assigned
- Oct 3, 2026
- Last updated
- Oct 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701016923 | VA | Primary |
Addresses
Primary practice location
6308 Five Mile Centre Park Ste 217
Fredericksburg, VA 22407-5508
Mailing address
603 Lamplighter Dr
Fredericksburg, VA 22407-8632
Phone (423) 244-5110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790985600000",
"number": "1174427207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LAMPLIGHTER DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224078632",
"telephone_number": "423-244-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 FIVE MILE CENTRE PARK STE 217",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224075508",
"telephone_number": "540-642-0883",
"fax_number": "540-642-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSHINE",
"first_name": "CIERRA",
"middle_name": "DESTINY",
"name_prefix": "Dr.",
"credential": "LPC, DMIN, MACMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-03",
"last_updated": "2026-10-03",
"certification_date": "2026-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701016923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.