Shannon Pitts Copenhaver

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18166 Issued in NC

Practice address

3201 Nash St NW Ste a
Wilson, NC 27896-3000

Phone

(252) 289-1798

NPI assigned

Oct 28, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Anchor Family Therapy

  • Marriage & Family Therapist
  • Wilson, NC
  • NPI 1912513847
  NPD

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1356058531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 CARRIAGE FARM RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048244",
            "telephone_number": "919-457-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 NASH ST NW STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278963000",
            "telephone_number": "252-289-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAVER",
        "first_name": "SHANNON",
        "middle_name": "PITTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Home Care & Hospice, LLC (Gentiva)
• Comprehensive Rehab of Wilson, Inc.
• Confident Home Healthcare Services Inc
• Continuum II Home Health & Hospice, Inc. (Continuum Home Care of Wilson)
• Coordinated Health Services, Inc.
• David Corbett, DO
• Cornelius D. Martin, DMD, PLLC (Sunny Skies Pediatric Dentistry)
• Jacqueline R Costello, DNP, APRN, CPNP
• Benjamin Lee Coulter, M.D.
• County of Wilson (Wilson Co. Dept. of Public Health)

• Mental Health Counselor in Wilson, NC
• Providers in Wilson, 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 28, 2022; 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.