Organization Active NPI

Shiftless Wanderer LLC

  • Counseling Psychologist
  • Fredericksburg, VA
National Provider Identifier
1548752439
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
60754200 Issued in WA
Legal business name
SHIFTLESS WANDERER LLC
Practice address
2014 Charles St
Fredericksburg, VA 22401-3417
Phone
(425) 238-2765
Fax
(276) 258-0608
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Dr. Robin T. Barre, LMHC, PHDNPI 1184160541
Title
Owner
Phone
(425) 238-2765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 60754200 WA Primary

Addresses

Primary practice location

2014 Charles St
Fredericksburg, VA 22401-3417

Mailing address

2014 Charles St
Fredericksburg, VA 22401-3417
Phone (425) 238-2765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1548752439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013417",
            "telephone_number": "425-238-2765",
            "fax_number": "276-258-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013417",
            "telephone_number": "425-238-2765",
            "fax_number": "276-258-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFTLESS WANDERER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "BARRE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-238-2765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC, PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "60754200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.