Shana Gordon Waltman, MA, LCMHC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S7308 Issued in NC

Practice address

5 Oak Branch Dr Ste H
Greensboro, NC 27407-2157

Phone

(336) 288-9190

Fax

(336) 450-4318

NPI assigned

Jan 31, 2008

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tree of Life Counseling PLLCGroup PAC ID 4688814874, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Tree of Life Counseling, PLLC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1477819712
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1184802266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAK BRANCH DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072157",
            "telephone_number": "336-288-9190",
            "fax_number": "336-450-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OAK BRANCH DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072157",
            "telephone_number": "336-288-9190",
            "fax_number": "336-450-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTMAN",
        "first_name": "SHANA",
        "middle_name": "GORDON",
        "credential": "MA, LCMHC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S7308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184802266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Walson, LCSWA
• Mary Chambers Walt
• Walter G Howell, DDS
• Kali Walters
• Lea R Walters, COTA
• Donna Marie Walton
• Jasmen Walton
• Michaella Walton
• Stacey Walton
• Steven Michael Walton, PT

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.