Individual provider Active NPI

Shelley Wilcox Haney

  • Pastoral Counselor
  • Morganton, NC
National Provider Identifier
1558055343
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
16533
Practice address
210 Valdese Ave Ste a
Morganton, NC 28655-2905
Phone
(828) 608-0867
Fax
(828) 608-0951
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 16533 Primary

Addresses

Primary practice location

210 Valdese Ave Ste a
Morganton, NC 28655-2905

Mailing address

210 Valdese Ave Ste a
Morganton, NC 28655-2905
Phone (828) 608-0867

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tamar Ministries LLC CurrentSince Jun 11, 2023 Accepting new patients

Locations

210 Valdese Ave
Ste A
Morganton, NC 28655
Phone (828) 608-0867

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1558055343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VALDESE AVE STE A",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552905",
            "telephone_number": "828-608-0867",
            "fax_number": "828-608-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VALDESE AVE STE A",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552905",
            "telephone_number": "828-608-0867",
            "fax_number": "828-608-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "SHELLEY",
        "middle_name": "WILCOX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": "16533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.