Organization Active NPI

Derek Shelton Counseling PLLC

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1396657094
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEREK SHELTON COUNSELING PLLC
Practice address
6400 Carolina Beach Rd Ste 8
Wilmington, NC 28412-2957
Phone
(910) 408-2421
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Derek Shelton, LCSW
Title
Owner/LCSW
Phone
(910) 408-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6400 Carolina Beach Rd Ste 8
Wilmington, NC 28412-2957

Mailing address

PO Box 15131
Wilmington, NC 28408-5131
Phone (910) 408-2421

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1396657094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15131",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085131",
            "telephone_number": "910-408-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CAROLINA BEACH RD STE 8",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122957",
            "telephone_number": "910-408-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK SHELTON COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "910-408-2421",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.