Shameka Shonette Grimes

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

27563 Issued in NC

Practice address

1425 S Glenburnie Rd Ste 2
New Bern, NC 28562-2610

Phone

(252) 336-3646

Fax

(252) 421-9200

NPI assigned

Dec 19, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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.

• Restored Outlook Counseling PLLC

  • Mental Health Counselor
  • Aurora, NC
  • NPI 1639882806

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Great Place to Start Behavioral Health Services

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1679042683
  NPD
• Heartworks Childrens Medical Home Mission

  • Clinical Social Worker
  • Bayboro, NC
  • NPI 1306967880
  NPD (past)

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1730849746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "AURORA",
            "state": "NC",
            "postal_code": "278060575",
            "telephone_number": "252-501-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 2",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-336-3646",
            "fax_number": "252-421-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SHAMEKA",
        "middle_name": "SHONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon S Greenwald, M.ED., MSW, LCSW
• Mary Greyard, DPT
• Ormond Drew Grice, M.D.
• Jasyn Anastasia Griffith, M.A., LMFT
• Dustin Ross Grimes, NP
• Sara Elizabeth Grissom, LPCA; LCASA
• Zachary Grissom
• Belinda Grist
• Grope de Procrurir Gurdjieff, P.a.
• Prentis Rae Gross, NP

• Addiction (Substance Use Disorder) Counselor in New Bern, NC
• Providers in New Bern, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

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