Individual provider Active NPI

Stephane Shulenberger, LPC

  • Professional Counselor
  • Bedford, VA
National Provider Identifier
1396344552
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009616 Issued in VA
Practice address
1409 Ole Dominion Blvd
Bedford, VA 24523-3285
Phone
(540) 586-5429
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009616 VA Primary

Addresses

Primary practice location

1409 Ole Dominion Blvd
Bedford, VA 24523-3285

Mailing address

1409 Ole Dominion Blvd
Bedford, VA 24523-3285
Phone (540) 586-5429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260212003607 VA Practitioner - Mental Health Counselor 4183104821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1828 Cub Circle NW
Christiansburg, VA 24073-1181

707 N Courthouse Rd
North Chesterfield, VA 23236-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009616VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Nov 24, 2024 Accepting new patients
Myspectrum LLC CurrentSince Dec 19, 2025 Accepting new patients
New River Valley Community Services PastSince Oct 1, 2020 Accepting new patients
New River Valley Community Services PastSince Oct 1, 2020 Accepting new patients

Locations

1409 Old Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429

707 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 332-5696

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1396344552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 OLE DOMINION BLVD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233285",
            "telephone_number": "540-586-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 OLE DOMINION BLVD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233285",
            "telephone_number": "540-586-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULENBERGER",
        "first_name": "STEPHANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.