Jennifer Lynne Shai, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007440 Issued in NC

Practice address

5612 Orchard Gate Way
Raleigh, NC 27616-2992

Phone

(828) 773-1054

NPI assigned

Oct 26, 2011

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shai Counseling Solution, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1689095226
  NPD (past) Authorized official
• Head Injury Center of Charlotte, Inc.

  dba Carolina NeuroServices

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1780684522
  NPD (past)

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1356627947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 ORCHARD GATE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162992",
            "telephone_number": "828-773-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 ORCHARD GATE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162992",
            "telephone_number": "828-773-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAI",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009007",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q402930281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tisha Shah, CCC-SLP
• Yogita Shah, MD
• Saman Shaheen
• Parya Shahidi Ghamsari, PHARMD
• Shai Counseling Solution, PLLC
• Byalinah S-K Shakir-Burgess, LPC
• Fnu Shakuntulla, MD
• Kunjan Shakya, M.D.
• Rita Shaloiko, OTR/L
• Lauren Shampine, OTR/L

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.