Shaffer Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHAFFER COUNSELING

Practice address

1396 Old Mill Cir Ste F
Winston Salem, NC 27103-2957

Phone

(336) 283-2684

NPI assigned

Feb 3, 2025

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas ShafferNPI 1861789604

Title

Owner

Phone

(717) 574-1531

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Shaffer, LCMHC-S

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1861789604
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1538973532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 OLD MILL CIR STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 OLD MILL CIR STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032957",
            "telephone_number": "336-283-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-574-1531"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Shabih-Khan, MD
• Judy Denise Shackett
• Brian Shackleford, MD
• Victoria Rose Shada, MD
• Millicent Johnson Shadden, LCSW
• Thomas Shaffer, LCMHC-S
• Anna Shaffner, LPCA
• Deepal Pankaj Shah-Zamora, M.D.
• Anjay Prerak Shah
• Archana Manoj Shah, D.O

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.