Gayle Bockman Shellenberg, LMSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6940 Issued in SC

Practice address

13 Colony House CT
Columbia, SC 29212-3520

Phone

(803) 665-0000

Fax

(803) 896-5166

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1508100066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 COLONY HOUSE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123520",
            "telephone_number": "803-665-0000",
            "fax_number": "803-896-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 COLONY HOUSE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123520",
            "telephone_number": "803-665-0000",
            "fax_number": "803-896-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBERG",
        "first_name": "GAYLE",
        "middle_name": "BOCKMAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6940",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "6940",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas David Shelburne III, PA-C
• Cynthia Shelby, RBT
• Larry Francis Sheldon, PA-C
• Shelia's Helping Hands LLC
• Jacob Shell, PHARMD
• Angela Page Shelley, APRN
• Scottie M Shelley, APRN
• Karen R Shelly, RNBC
• Helen Shelton
• Stephen Lee Shelton Sr., MD

• Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.