Beverly Lynne Shuffett, MSSW, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

284568 Issued in KY

Practice address

1327 E Broadway St Ste B
Campbellsville, KY 42718-1599

Phone

(270) 789-4194

NPI assigned

Jun 1, 2023

Last updated

Feb 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1508559774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 RALPH VAUGHN RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427437797",
            "telephone_number": "270-465-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E BROADWAY ST STE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181599",
            "telephone_number": "270-789-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFFETT",
        "first_name": "BEVERLY",
        "middle_name": "LYNNE",
        "credential": "MSSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "284568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laree Shively, APRN
• Susan Ashley Shively, CRNFA, MSN, FNP-C
• Gail Shofner
• Lyndsie Short, ATC
• Barbara Natalie Shuffett, APRN
• Tonja Denise Simpson
• Smile Center Dre LLC
• Smile Center PLLC
• Andrea Michelle Smith, OT
• Evelyn Cole Smith, PHARM.D.

• Addiction (Substance Use Disorder) Counselor in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.