Individual provider Active NPI

Shelia Diana Williamson Collins, PHD, LCMHC, LCAS

  • Mental Health Counselor
  • Rockingham, NC
National Provider Identifier
1326116997
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10148 Issued in NC
Practice address
225 S Hancock St Ste E
Rockingham, NC 28379-3679
Phone
(910) 417-8794
Fax
(910) 557-1153
NPI assigned
Dec 1, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 21619 NC
Mental Health Counselor 101YM0800X 178004533 IL
Mental Health Counselor 101YM0800X 10148 NC Primary
Professional Counselor 101YP2500X 212906 NC

Addresses

Primary practice location

225 S Hancock St Ste E
Rockingham, NC 28379-3679

Mailing address

135 Wellington Dr
Hamlet, NC 28345-8001
Phone (910) 417-8794

Other names 1

  • Mrs. Shelia Diana Taffe Other name

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
I20240418003773 NC Practitioner - Mental Health Counselor 3577902824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-11 LLCGroup PAC ID 1153564877, 29 clinicians

Practice addresses (Care Compare)

35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
178004533ILMDMental Health Counselor
212906NCMDProfessional Counselor
10148NCMDMarriage & Family Therapist
21619NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Care CurrentSince Feb 24, 2024 Accepting new patients
MCPC-11, LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

225 S Hancock St
Ste E
Rockingham, NC 28379
Phone (910) 417-8794

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1326116997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WELLINGTON DR",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283458001",
            "telephone_number": "910-417-8794",
            "fax_number": "910-557-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S HANCOCK ST STE E",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793679",
            "telephone_number": "910-417-8794",
            "fax_number": "910-557-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON COLLINS",
        "first_name": "SHELIA",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "PHD, LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21619",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178004533",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10148",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "212906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELIA",
            "last_name": "TAFFE",
            "middle_name": "DIANA",
            "prefix": "MRS.",
            "credential": "MA, LPC, LCAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.