Alexus Shabazz, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701011874 Issued in VA

Practice address

6500 W Banes CT
Chesterfield, VA 23832-8249

Phone

(804) 651-4879

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elite Creative Care LLC

  • Community/Behavioral Health Agency
  • West Point, VA
  • NPI 1255127429
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1548986383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W BANES CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W BANES CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328249",
            "telephone_number": "804-651-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAZZ",
        "first_name": "ALEXUS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexusLPC@gmailc.om",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6500 W Banes Ct",
            "city": "Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238328249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serenity Home Care, LLC
• Serenity Ride Care
• Michael Shane Severt, L.C.S.W.
• Jill R. Sexton-Newton, LPC
• Kathy Seymour, PT
• Amar R. Shah, MD
• Chaman Kant Sharma, MD
• Lauren B Shaulis, LCSW
• Shaw Psychotherapy and Consulting Services LLC
• Monica K. Shaw, PH.D.

• Mental Health Counselor in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.