Active NPI
Derek Shelton Counseling PLLC
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1396657094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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": []
}
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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.