Active NPI
Shekyra Decree, PCC
- Professional Counselor
- Gahanna, OH
National Provider Identifier
1598042533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0600534-SUPV
- Practice address
- 261 W Johnstown Rd Ste 108
Gahanna, OH 43230-2887 - Phone
- (614) 454-1377
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-MN-365 | MN | |
| Professional Counselor | 101YP2500X | E.0600534-SUPV | OH | Primary |
| Professional Counselor | 101YP2500X | E.0600534 | OH | |
| Mental Health Counselor | 101YM0800X | 39005705A | IN | |
| Mental Health Counselor | 101YM0800X | MH26489 | FL | |
| Professional Counselor | 101YP2500X | LPC-AZ-424 | AZ |
Addresses
Primary practice location
261 W Johnstown Rd Ste 108
Gahanna, OH 43230-2887
Mailing address
528 Gayle Dr
Gahanna, OH 43230-2885
Phone (614) 309-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH26489 | FL | MD | Mental Health Counselor |
| 39005705A | IN | MD | Mental Health Counselor |
| LPC-AZ-424 | AZ | MD | Professional Counselor |
| LPC-MN-365 | MN | MD | Professional Counselor |
| E.0600534 | OH | MD | Professional Counselor |
| E.0600534-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queenspace Counseling and Wellness, LLC | Professional | Current | Accepting new patients |
Locations
261 W Johnstown Rd
Ste 108
Gahanna, OH 43230
Organizations & group practices 2
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.
-
- Professional Counselor
- Gahanna, OH
- NPI 1023862539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1598042533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 GAYLE DR",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432302885",
"telephone_number": "614-309-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 W JOHNSTOWN RD STE 108",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432302887",
"telephone_number": "614-454-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECREE",
"first_name": "SHEKYRA",
"name_prefix": "Mrs.",
"credential": "PCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "LPC-MN-365",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600534-SUPV",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600534",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39005705A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH26489",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-AZ-424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.