Individual provider Active NPI

Bernard Shalvey, LCMHC LCAS NCC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1396498903
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16318 Issued in NC
Practice address
2602 Chadbury Dr
Greensboro, NC 27407-6699
Phone
(704) 929-2311
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16318 NC Primary

Addresses

Primary practice location

2602 Chadbury Dr
Greensboro, NC 27407-6699

Mailing address

2602 Chadbury Dr
Greensboro, NC 27407-6699
Phone (704) 929-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16318NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1396498903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 CHADBURY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076699",
            "telephone_number": "704-929-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 CHADBURY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076699",
            "telephone_number": "704-929-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALVEY",
        "first_name": "BERNARD",
        "credential": "LCMHC LCAS NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.