Individual provider Active NPI

Sharon Jones Shallow, M.A.ED.,LPC, LMFT,

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1770612178
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2219 Issued in NC
Practice address
601 Country Club Dr Ste G
Greenville, NC 27834-6124
Phone
(252) 355-1764
NPI assigned
Mar 4, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 091 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 1172 NC
Professional Counselor 101YP2500X 2219 NC Primary

Addresses

Primary practice location

601 Country Club Dr Ste G
Greenville, NC 27834-6124

Mailing address

601 Country Club Dr Ste G
Greenville, NC 27834-6124
Phone (252) 355-1764

Other identifiers 1

IdentifierTypeStateIssuer
75417OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1172NCMDAddiction (Substance Use Disorder) Counselor
091NCMDMarriage & Family Therapist
2219NCMDSports Physician Chiropractor
91NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling and Business Consultation, P.L.L.C. Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1770612178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 COUNTRY CLUB DR STE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346124",
            "telephone_number": "252-355-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COUNTRY CLUB DR STE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346124",
            "telephone_number": "252-355-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLOW",
        "first_name": "SHARON",
        "middle_name": "JONES",
        "name_prefix": "Mrs.",
        "credential": "M.A.ED.,LPC, LMFT,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "091",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1172",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75417",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.