Shelby Dunn Warren, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15961 Issued in NC

Practice address

3106 S Memorial Dr
Greenville, NC 27834-6765

Phone

(252) 916-6048

Fax

(252) 371-1655

NPI assigned

Aug 20, 2020

Last updated

Sep 8, 2020By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amy Grassi Watson PCGroup PAC ID 4183169618, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Amy Grassi Watson, PC

  • Mental Health Counselor
  • Wilson, NC
  • NPI 1275286916
  Medicare reassignment Care Compare group NPD
• Yotaron Enrichment Resource Center

  • Counselor
  • Greenville, NC
  • NPI 1376945816
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1356953384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31062",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331062",
            "telephone_number": "252-916-6048",
            "fax_number": "252-371-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346765",
            "telephone_number": "252-916-6048",
            "fax_number": "252-371-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SHELBY",
        "middle_name": "DUNN",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karma Davis Warren, MSW, CSWM, P-LCSW
• Kaylin Nicole Warren, CRT
• Mark Warren, M.D.
• Nicole Warren
• Rebecca Warren, SLP
• Timothy Warrick
• Donna L Waterman, CNM
• Jasmine Waters
• Jana Holland Watkins, CRNA
• Jessica Watkins

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, 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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.