Individual provider Active NPI

Carol Denise Shields, LPCC

  • Professional Counselor
  • Artesia, NM
National Provider Identifier
1518350495
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0203931 Issued in NM
Practice address
1105 Memorial Dr
Artesia, NM 88210-1189
Phone
(575) 746-9848
Fax
(505) 443-8317
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0180691 NM
Mental Health Counselor 101YM0800X 0175111 NM
Professional Counselor 101YP2500X CCMH0203931 NM Primary

Addresses

Primary practice location

1105 Memorial Dr
Artesia, NM 88210-1189

Mailing address

1105 Memorial Dr
Artesia, NM 88210-1189
Phone (575) 746-9848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250516002167 NM Practitioner - Mental Health Counselor 4385162924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0180691NMMDAddiction (Substance Use Disorder) Counselor
0175111NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince May 12, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince May 12, 2025 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Behavioral Medicine Associates, Inc. Past Accepting new patients
Courageous Transformations, Inc PastSince Mar 23, 2026 Accepting new patients

Locations

1105 Memorial Dr
Artesia, NM 88210
Phone (505) 746-9848

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: carol.shieldslpcc.p1@direct.pmsnm.nextgenshare.com

Organizations & group practices 5

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1518350495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101189",
            "telephone_number": "575-746-9848",
            "fax_number": "505-443-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101189",
            "telephone_number": "575-746-9848",
            "fax_number": "505-443-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CAROL",
        "middle_name": "DENISE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0180691",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0175111",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0203931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.