Individual provider Active NPI

Gale Batts Shiver, LCAS, CCS, SAP, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
National Provider Identifier
1487943858
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS3269 Issued in NC
Practice address
3219 Landmark St Ste 3a
Greenville, NC 27834-7688
Phone
(252) 215-3089
Fax
(252) 215-3089
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS3269 NC Primary

Addresses

Primary practice location

3219 Landmark St Ste 3a
Greenville, NC 27834-7688

Mailing address

P.O. Box 8211
Greenville, NC 27835
Phone (252) 215-3089

Other identifiers 1

IdentifierTypeStateIssuer
2544OtherNCNCSAPPB

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

State licenses

LicenseStateTypeSpecialty
LCAS3269NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Foundation Behavioral Health Services, LLC Addiction (Substance Use Disorder) CurrentSince Dec 29, 2019 Accepting new patients

Locations

72 Howell St
Greenville, NC 27834

3219 Landmark St
Ste 3A
Greenville, NC 27834
Phone (252) 215-3089

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1487943858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8211",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27835",
            "telephone_number": "252-215-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 LANDMARK ST STE 3A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347688",
            "telephone_number": "252-215-3089",
            "fax_number": "252-215-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVER",
        "first_name": "GALE",
        "middle_name": "BATTS",
        "name_prefix": "Mrs.",
        "credential": "LCAS, CCS, SAP, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS3269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSAPPB",
            "identifier": "2544",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.