Shawanna Nicole Moore-Geter, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12131 Issued in NC

Practice address

900 Old Winston Rd Ste 104
Kernersville, NC 27284-9965

Phone

(336) 682-5982

Fax

(336) 579-0507

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 17, 2024 through Jul 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shawnna Nicole Moore-Geter

  • Mental Health Counselor
  • Kernersville, NC
  • NPI 1730710328
  NPD Authorized official

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1811357429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD STE 104",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849965",
            "telephone_number": "336-682-5982",
            "fax_number": "336-579-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD STE 104",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849965",
            "telephone_number": "336-682-5982",
            "fax_number": "336-579-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-GETER",
        "first_name": "SHAWANNA",
        "middle_name": "NICOLE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1730710328",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811357429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MM Home Care, LLC
• Kevin Miles Mobley, DC
• Mockingbird Nutrition Counseling L.L.C.
• Courtney Monde
• Monolias Care and Consulting Services LLC
• Amber Moore, LCAS, SAP
• Jeremy Moore
• Lisa Tingen Moore, NP
• Lynn Chorey Moore Sr., PHARMD
• Mary Patricia Moore, M.D.

• Mental Health Counselor in Kernersville, NC
• Providers in Kernersville, 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 Sep 24, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.