Individual provider Active NPI

Howard W. Shumate, MS, LPC, CSAC, MAC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1427454719
Registry record updated Apr 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005977 Issued in VA
Practice address
3517 Brandon Ave SW
Roanoke, VA 24018-1523
Phone
(540) 981-1102
Fax
(540) 344-4169
NPI assigned
Nov 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005977 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102976 VA

Addresses

Primary practice location

3517 Brandon Ave SW
Roanoke, VA 24018-1523

Mailing address

301 Elm Ave SW
Roanoke, VA 24016-4001
Phone (540) 345-9841

Other identifiers 1

IdentifierTypeStateIssuer
1437137734MedicaidVA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0710102976VAMDAddiction (Substance Use Disorder) Counselor
0701005977VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491004800000",
    "number": "1427454719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-345-9841",
            "fax_number": "540-527-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 BRANDON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181523",
            "telephone_number": "540-981-1102",
            "fax_number": "540-344-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "HOWARD",
        "middle_name": "W.",
        "credential": "MS, LPC, CSAC, MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2017-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005977",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437137734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; 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.