Olivia Shealy, LCMHCA, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19705 Issued in NC

Practice address

6314 Big Pine Rd
Marshall, NC 28753-7682

Phone

(828) 273-7785

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1679332191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16512",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288160512",
            "telephone_number": "828-273-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 BIG PINE RD",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287537682",
            "telephone_number": "828-273-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "OLIVIA",
        "credential": "LCMHCA, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Sandow, PHARMD
• Elizabeth Jean Sapir, M.S., L.P.C.
• Elijah Alexander Schneidewind, LMBT, PT, CNC
• Louis A Schroeder, M.D.
• Dennis E Seely, P.A.
• Andrew Shelton, D.O.
• Gretchen Yvonne Shimer, OTD, OTR/L
• Carly Nicole Smith, B.A.
• Carolyn Whitlock Smith, LCSW
• Nickolas James Solt, MD

• All providers in Marshall, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.

Verify at the official NPI Registry.