Emma Claire Shugart, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15563 Issued in NC

Practice address

1069 Woodview Ridge TRL
Lewisville, NC 27023-7647

Phone

(336) 480-6879

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1316558562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 WOODVIEW RIDGE TRL",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270237647",
            "telephone_number": "336-480-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 WOODVIEW RIDGE TRL",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270237647",
            "telephone_number": "336-480-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286023401",
            "country_code": "US",
            "telephone_number": "704-671-4487",
            "fax_number": "828-707-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUGART",
        "first_name": "EMMA",
        "middle_name": "CLAIRE",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.