Shenae Lasandra Whitehead, PHD, MA, LPA, LCMHCS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5489 Issued in NC

Practice address

5845 Yadkin Rd Unit D
Fayetteville, NC 28303-2656

Phone

(910) 867-4417

Fax

(910) 302-7479

NPI assigned

Jan 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shenae Whitehead Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Heart to Heart Counseling and Wellness Center, PLLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1154797082
  NPD Authorized official

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1609146380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 YADKIN RD UNIT D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032656",
            "telephone_number": "910-867-4417",
            "fax_number": "910-302-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 YADKIN RD UNIT D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032656",
            "telephone_number": "910-867-4417",
            "fax_number": "910-302-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Balsey St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282902",
            "country_code": "US",
            "telephone_number": "910-490-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "SHENAE",
        "middle_name": "LASANDRA",
        "name_prefix": "Dr.",
        "credential": "PHD, MA, LPA, LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8992",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENAE",
            "last_name": "WHITEHEAD",
            "credential": "PHD, MA, LPA, LCMHCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tijuana Del Roya White
• Washington Dennis White, LPC
• Zoe White
• Zollie White III, MD, PHD
• Courtney Parker Whitehead, PSY.D.
• Thomasina Whitehead, LCSWA
• Joanna Hunt Whitehouse, M.A.,CCC-SLP
• Laura Whitehurst
• Barbara Lynn Whitley, L.C.S.W
• Capricia Ann Whitley, FNP-C

• Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychologist in North Carolina

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