Individual provider Active NPI

Shaunaca S James, MS, LPC, NCC, BSC

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1518630839
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013562 Issued in PA
Practice address
5010 Ritter Rd Ste 109
Mechanicsburg, PA 17055-4828
Phone
(717) 357-8230
NPI assigned
Aug 2, 2021
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013562 PA Primary

Addresses

Primary practice location

5010 Ritter Rd Ste 109
Mechanicsburg, PA 17055-4828

Mailing address

5010 Ritter Rd Ste 109
Mechanicsburg, PA 17055-4828
Phone (717) 357-8230

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC013562PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutionary Soul Counseling & Wellness Services, LLC CurrentSince Feb 24, 2022 Accepting new patients

Locations

1000 Carlisle St
Ste 2225
Hanover, PA 17331
Phone (717) 476-1866

5010 Ritter Rd
Ste 109
Mechanicsburg, PA 17055
Phone (717) 357-8230

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1518630839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 RITTER RD STE 109",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554828",
            "telephone_number": "717-357-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 RITTER RD STE 109",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554828",
            "telephone_number": "717-357-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SHAUNACA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, NCC, BSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.