Individual provider Active NPI

Shamla L McLaurin, PHD

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1609928001
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000401 Issued in DE
Practice address
3521 Silverside Rd Ste 2D
Wilmington, DE 19810-4900
Phone
(610) 544-2110
NPI assigned
Jan 17, 2007
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0000401 DE
Professional Counselor 101YP2500X PC012510 PA
Professional Counselor 101YP2500X PC-0000401 DE Primary

Addresses

Primary practice location

3521 Silverside Rd Ste 2D
Wilmington, DE 19810-4900

Mailing address

157 N Katrin Cir
New Castle, DE 19720-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20241001000044 DE Practitioner - Mental Health Counselor 4688933534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Wilmington, DE 19810
Phone (302) 268-6105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC012510PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashe Center for Wellness, LLC Professional CurrentSince Apr 6, 2023 Accepting new patients
Optum Behavioral Care of Delaware, Inc CurrentSince Jul 19, 2024 Accepting new patients
Optum Behavioral Care of Delaware, Inc. CurrentSince Jul 19, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Past Accepting new patients

Locations

3521 Silverside Rd
Ste 2D
Wilmington, DE 19810
Phone (302) 268-6105

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

Interoperability endpoints

  • Direct secure messaging: shamla.l.mclaurin.1@28623.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1609928001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N KATRIN CIR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE RD STE 2D",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104900",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "SHAMLA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000401",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012510",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.