Individual provider Active NPI

Shekyra Decree, PCC

  • Professional Counselor
  • Gahanna, OH
National Provider Identifier
1598042533
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0600534-SUPV Issued in OH
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

Updated by the provider on May 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001865 OH Practitioner - Mental Health Counselor 9931544376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26489FLMDMental Health Counselor
39005705AINMDMental Health Counselor
LPC-AZ-424AZMDProfessional Counselor
LPC-MN-365MNMDProfessional Counselor
E.0600534OHMDProfessional Counselor
E.0600534-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Queenspace Counseling and Wellness, LLC Professional CurrentSince Apr 14, 2024 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.

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

Verify at the official NPI Registry.