Individual provider Active NPI

Shannon Vinson Weeks, LPC

  • Professional Counselor
  • Goldsboro, NC
National Provider Identifier
1235450560
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7988 Issued in NC
Practice address
208 Malloy St
Unit E
Goldsboro, NC 27534-4478
Phone
(919) 580-8119
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 7988 NC Primary

Addresses

Primary practice location

208 Malloy St
Unit E
Goldsboro, NC 27534-4478

Mailing address

208 Malloy St
Unit E
Goldsboro, NC 27534-4478
Phone (919) 580-8119

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325000109 NC Practitioner - Mental Health Counselor 7012354228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldsboro Counseling Center PAGroup PAC ID 5890747885, 6 clinicians

Practice addresses (Care Compare)

208 Malloy St
Suite E
Goldsboro, NC 27534-4478
Phone (919) 778-5594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7988NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsboro Counseling Center, P.a. Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

208 Malloy St
Ste E
Goldsboro, NC 27534
Phone (919) 778-5594

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1235450560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST",
            "address_2": "UNIT E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "919-580-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST",
            "address_2": "UNIT E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "919-580-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "SHANNON",
        "middle_name": "VINSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.