Active NPI
Paige Shepherd
- Counselor
- Charleston, WV
National Provider Identifier
1275302911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 806
- Practice address
- 1 Kenton Dr Ste 200
Charleston, WV 25311-1256 - Phone
- (304) 408-3292
- NPI assigned
- Dec 21, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 806 | WV | Primary |
Addresses
Primary practice location
1 Kenton Dr Ste 200
Charleston, WV 25311-1256
Mailing address
851 Sweet Acres Dr
Saint Albans, WV 25177-3930
Phone (304) 807-8196
Other names 1
- Paige Winfree
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanawha Pastoral Counseling Center | Counselor | Past | Accepting new patients |
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.
-
- Counselor
- Charleston, WV
- NPI 1891826707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1275302911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 SWEET ACRES DR",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251773930",
"telephone_number": "304-807-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KENTON DR STE 200",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111256",
"telephone_number": "304-408-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "WV",
"license": "806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "WINFREE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.