Laura W Shine, LPCMH

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

117 Main St
Millsboro, DE 19966-8410

Phone

(302) 745-7173

NPI assigned

Jan 14, 2018

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

Medicare enrollment (NPD)

Not 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.

• Shine Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Millsboro, DE
  • NPI 1740807726
  NPD Authorized official
• Odyssey Counseling PA

  • Clinical Social Worker
  • Seaford, DE
  • NPI 1043489966
  NPD (past)
• Psychological Associates of Southern Delaware

  • Clinical Psychologist
  • Laurel, DE
  • NPI 1942527528
  NPD (past)

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1780192682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199665224",
            "telephone_number": "302-745-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199668410",
            "telephone_number": "302-745-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11023 Joe Warrington Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "DE",
            "postal_code": "199564576",
            "country_code": "US",
            "telephone_number": "302-280-6256",
            "fax_number": "302-280-6272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINE",
        "first_name": "LAURA",
        "middle_name": "W",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-14",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Schwartz
• Rebraun Amon Scott-Hicks
• Seek Peace Counseling Service LLC
• Kari Shearman, FNP-C
• Shine Mental Health Services
• Miri Shlomi
• Shore Pointe Rehab and Healthcare Center LLC
• Carolyn Carter Showell, LCSW
• William Acie Singleton, CADC
• Sleepy Tooth Orthodontics LLC

• Counselor in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.