Shonna Marie Roberts, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A15765 Issued in NC

Practice address

35 Memorial Dr
Pinehurst, NC 28374-8708

Phone

(910) 715-3370

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCPC-11 LLCGroup PAC ID 1153564877, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MCPC-11, LLC

  • Adult Mental Health Clinic/Center
  • Pinehurst, NC
  • NPI 1841635455
  Medicare reassignment Care Compare group NPD
• Creative Counseling and Learning Solutions, PLLC

  • Professional Counselor
  • Albemarle, NC
  • NPI 1972842599
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1457977076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 KATAWBA DR",
            "city": "LAUREL HILL",
            "state": "NC",
            "postal_code": "283519634",
            "telephone_number": "704-492-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-715-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miken Rios
• Tanya Rivera
• John P Roberson, MD
• Michelle Garris Roberson, MD
• Payton Noelle Roberts
• Michelle Robertson
• Danetta Dutton Robinson, L.C.S.W.
• John B Robinson, CRNA
• Keith A Robinson
• Tamar Robinson

• Professional Counselor in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.