Active NPI
Shelby Renee Carlson, LPC
- Counselor
- Greensboro, NC
National Provider Identifier
1508352725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11937
- Practice address
- 107 Gray Dr
Greensboro, NC 27412-5008 - Phone
- (336) 334-5874
- Fax
- (336) 334-3900
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11937 | NC | Primary |
Addresses
Primary practice location
107 Gray Dr
Greensboro, NC 27412-5008
Mailing address
107 Gray Dr
Greensboro, NC 27412-5008
Phone (336) 334-5874
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11937 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1508352725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 GRAY DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274125008",
"telephone_number": "336-334-5874",
"fax_number": "336-334-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GRAY DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274125008",
"telephone_number": "336-334-5874",
"fax_number": "336-334-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "SHELBY",
"middle_name": "RENEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "11937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Caring Partners Healthcare, Inc (Caring Partners Healthcare)
- Matthew Carlisle
- Patrick Edward Carlisle, DMD
- Carlos Rodriguez DMD PLLC
- Rita Quiambao Carlos, MD
- Jill Carlton, MS,NCC,LPC
- Jennifer Benton Carmichael, RN, MSN, ACCNS-AG
- Mary Katherine Carmon, PHYSICIAN ASSISTANT
- Luis Jose Carmona
- Melissa Catherine Carmona, LCMHCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.