Shannon Gutschick, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11921 Issued in NC

Practice address

136 Napa Rd
Lexington, NC 27295-6398

Phone

(704) 699-9272

NPI assigned

Jul 1, 2016

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

Other identifiers 1

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

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.

• Thriveworks Clinical - North Carolina PC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1003303082
  NPD

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1750733739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 NAPA RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956398",
            "telephone_number": "704-699-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NAPA RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956398",
            "telephone_number": "704-699-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSCHICK",
        "first_name": "SHANNON",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750733739",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Grigoriev
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• Sara Alicia Guasch, MD
• Elizabeth Ann Gunter-Woods, CRNA
• H.E.a.R.T Acupuncture and Chiropractic PLLC
• Jeffery M Halcomb, RPH
• Andrew Lee Hall, PHARMD
• Christine Sarah Hall, D.O.
• Katherine Fair Hall

• Mental Health Counselor in Lexington, NC
• Providers in Lexington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.