Individual provider Active NPI

Lance Michael Shuff, LCMHC

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1467020628
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16684 Issued in NC
Practice address
136 Fairview Rd Ste 125
Mooresville, NC 28117-8547
Phone
(980) 243-3572
NPI assigned
Jun 15, 2021
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16684 NC
Mental Health Counselor 101YM0800X 16684 NC Primary
Professional Counselor 101YP2500X A16684 NC

Addresses

Primary practice location

136 Fairview Rd Ste 125
Mooresville, NC 28117-8547

Mailing address

300 Mooresville Rd
Kannapolis, NC 28081-0304
Phone (704) 920-1310

Other practice location 1

300 Mooresville Rd
Kannapolis, NC 28081-0304
Phone (704) 920-1310

Other practice location 2

363 Church St N Ste 240
Concord, NC 28025-4525
Phone (704) 920-1199

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16684NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of North Carolina, PLLC CurrentSince Jul 8, 2024 Accepting new patients
Counseling Associates at the Lake, Inc. Past Accepting new patients
Public Health Authority of Cabarrus County PastSince Jul 1, 2022 Accepting new patients
Public Health Authority of Cabarrus County PastSince Jul 1, 2022 Accepting new patients

Locations

136 Fairview Rd
Ste 125
Mooresville, NC 28117
Phone (704) 317-5929

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1467020628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORESVILLE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810304",
            "telephone_number": "704-920-1310",
            "fax_number": "704-934-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 FAIRVIEW RD STE 125",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178547",
            "telephone_number": "980-243-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Mooresville Rd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280810304",
            "country_code": "US",
            "telephone_number": "704-920-1310",
            "fax_number": "704-934-4270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Church St N Ste 240",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280254525",
            "country_code": "US",
            "telephone_number": "704-920-1199",
            "fax_number": "704-445-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUFF",
        "first_name": "LANCE",
        "middle_name": "MICHAEL",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16684",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16684",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A16684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.