Individual provider Active NPI

Natashia Shantal Shelley, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1497158661
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A10070 Issued in NC
Practice address
4805 Green Rd
Suite 103
Raleigh, NC 27616-2848
Phone
(919) 872-6220
Fax
(919) 876-6223
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A10070 NC Primary

Addresses

Primary practice location

4805 Green Rd
Suite 103
Raleigh, NC 27616-2848

Mailing address

3620 Trotters Dr W
Wilson, NC 27893-8343
Phone (252) 245-0042

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240429002888 NC Practitioner - Mental Health Counselor 9638519366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutrans Health LLCGroup PAC ID 2668828641, 3 clinicians
Nutrans Health LLCGroup PAC ID 3476039181, 3 clinicians

Practice addresses (Care Compare)

123 Sunnybrook Rd
Suite 140
Raleigh, NC 27610-2784
Phone (919) 322-0138

5109 Hollyridge Dr
Suite 103
Raleigh, NC 27612-3146
Phone (844) 748-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10070NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrans Health LLC Mental Health CurrentSince Mar 9, 2024 Accepting new patients

Locations

3440 Toringdon Way
Ste 205
Charlotte, NC 28277
Phone (980) 375-6657

123 Sunnybrook Rd
Ste 140
Raleigh, NC 27610
Phone (919) 250-0580

5109 Hollyridge Dr
Ste 103
Raleigh, NC 27612
Phone (844) 748-8443

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1497158661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 TROTTERS DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938343",
            "telephone_number": "252-245-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-876-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "NATASHIA",
        "middle_name": "SHANTAL",
        "name_prefix": "Miss",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.