Individual provider Active NPI

Cierra Destiny McShine, LPC, DMIN, MACMHC

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1174427207
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701016923 Issued in VA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.