Active NPI
Donna Renee Adams, MA, LCMHCA
- Mental Health Counselor
- Shelby, NC
National Provider Identifier
1194372490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1146 County Home Rd
Shelby, NC 28152-6952 - Phone
- (980) 261-3092
- NPI assigned
- Aug 21, 2019
- Last updated
- May 23, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1146 County Home Rd
Shelby, NC 28152-6952
Mailing address
1146 County Home Rd
Shelby, NC 28152-6952
Phone (704) 275-1522
Other names 1
- Mrs. Renee Langley Adams
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Liberty Univ College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
320 E Graham St
Suite 1
Shelby, NC 28150-5569
601 Mariel Way Apt
Suite 304
Culpeper, VA 22701-1820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15100 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom & Balance, PLLC | Mental Health | Current | Accepting new patients |
Locations
320 E Graham St
Ste 1
Shelby, NC 28150
Phone (704) 484-1058
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": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1194372490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 COUNTY HOME RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526952",
"telephone_number": "704-275-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1146 COUNTY HOME RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526952",
"telephone_number": "980-261-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "DONNA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MA, LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "ADAMS",
"middle_name": "LANGLEY",
"prefix": "MRS.",
"credential": "MA. LCMHCA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.