Individual provider Active NPI

Bobbiann Profitt, LPC, LAC

  • Professional Counselor
  • Aiken, SC
National Provider Identifier
1275654279
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7418 Issued in SC
Practice address
237 Archdale Dr
Aiken, SC 29803-8552
Phone
(908) 249-3989
NPI assigned
Apr 3, 2007
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC814AC SC
Professional Counselor 101YP2500X 7418 SC Primary
Professional Counselor 101YP2500X 37PC00003100 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00044600 NJ

Addresses

Primary practice location

237 Archdale Dr
Aiken, SC 29803-8552

Mailing address

237 Archdale Dr
Aiken, SC 29803-8552
Phone (908) 249-3989

Other names 1

  • Bobbiann Shufelt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240826002786 SC Practitioner - Mental Health Counselor 4981143666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
37LC00044600NJMDAddiction (Substance Use Disorder) Counselor
LAC814ACSCMDAddiction (Substance Use Disorder) Counselor
37PC00003100NJMDProfessional Counselor
7418SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Impact LLC Professional CurrentSince Oct 12, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bobbiannshufelt@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1275654279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ARCHDALE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038552",
            "telephone_number": "908-249-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 ARCHDALE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038552",
            "telephone_number": "908-249-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFITT",
        "first_name": "BOBBIANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "LAC814AC",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7418",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00003100",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00044600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIANN",
            "last_name": "SHUFELT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.