Active NPI
Lance Michael Shuff, LCMHC
- Mental Health Counselor
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16684
- Practice address
- 136 Fairview Rd Ste 125
Mooresville, NC 28117-8547 - Phone
- (980) 243-3572
- NPI assigned
- Jun 15, 2021
- Last updated
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A16684 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of North Carolina, PLLC | Current | Accepting new patients | |
| Counseling Associates at the Lake, Inc. | Past | Accepting new patients | |
| Public Health Authority of Cabarrus County | Past | Accepting new patients | |
| Public Health Authority of Cabarrus County | Past | 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.
-
- Psychiatry Physician
- Durham, NC
- NPI 1588433502
-
- Clinical Social Worker
- Cornelius, NC
- NPI 1023416146
-
dba Cabarrus Health Alliance
- Health Educator
- Kannapolis, NC
- NPI 1467345397
-
dba Cabarrus Health Alliance
- State or Local Public Health Clinic/Center
- Kannapolis, NC
- NPI 1649331638
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.