Shantell Carraway, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12250A Issued in NC

Practice address

8502 Pillar Gate LN
Raleigh, NC 27613-7390

Phone

(919) 276-5614

NPI assigned

Dec 4, 2020

Last updated

Dec 22, 2023By 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 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

National Medical University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duke University Affiliated Physicians, Inc.

  dba Sutton Station Internal Medicine

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  Medicare reassignment Care Compare group NPD
• Renew Love Couples Therapy, PLLC

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1134996580
  NPD Authorized official
• Duke University Affiliated Physicians, Inc.

  dba Duke Primary Care Creedmoor Road

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1407024110
  NPD
• Duke University Affiliated Physicians, Inc.

  dba Duke Urgent Care

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1508461633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 CREEDMOOR RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131661",
            "telephone_number": "919-276-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 PILLAR GATE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137390",
            "telephone_number": "919-276-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAWAY",
        "first_name": "SHANTELL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12250A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Barnwell Carr, MD
• Michelle M Carr, PT
• Richaunda Carr, LCSWA
• Jeanette Mercedes Carrasquillo, LCSWA
• Anthony Glenn Carraway, M. D.
• Kristina Marie Carreira, OTR/L
• Julie Carrelha Bardini, LCSW
• Pedro Carreno
• Anna M Carrick, M.S., CCC-SLP
• Karen Hoagland Carrick, D.C.

• Marriage & Family Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.