Organization Active NPI

Shelby Wellness & Therapy Center PLLC

Doing business as Community Wellness Partners of NC, PLLC

  • Community/Behavioral Health Agency
  • Shelby, NC
National Provider Identifier
1831567676
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHELBY WELLNESS & THERAPY CENTER PLLC
Doing business as
Community Wellness Partners of NC, PLLC
Shelby Wellness & Therapy Center
Practice address
809 N Lafayette St
Suite a
Shelby, NC 28150
Phone
(704) 284-0554
Fax
(704) 448-2003
NPI assigned
Sep 10, 2015
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Michele Christine Blackman
Title
M.a., LMFT
Phone
(704) 284-0554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

809 N Lafayette St
Suite a
Shelby, NC 28150

Mailing address

809 N Lafayette St
Suite a
Shelby, NC 28150-3978
Phone (704) 284-0554

Other practice location 1

530 E Main St
Lincolnton, NC 28092-3410
Phone (704) 284-0554

Other practice location 2

1019 N Lafayette St # 2
Shelby, NC 28150-3746
Phone (704) 284-0554

Other practice location 3

527 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 284-0554

Other practice location 4

16511 Northcross Dr Ste A
Huntersville, NC 28078-5021
Phone (704) 284-0554

Other practice location 5

417 W Warren St Ste A
Shelby, NC 28150-5368
Phone (704) 284-0554

Other practice location 6

1446 E Gaston St Ste 101
Lincolnton, NC 28092-4441
Phone (704) 960-5052

Other names 2

  • Community Wellness Partners of NC, PLLC Doing business as
  • Shelby Wellness & Therapy Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address blackman@shelbytherapy.com Direct
Direct Messaging Address blackman@shelbytherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210622000690 NC Part B Supplier - Clinic/Group Practice 1850792359 Receives reassigned benefits from 3 practitioners
Practice locations: Shelby, NC

National Provider Directory

National Provider Directory

Locations

530 E Main St
Lincolnton, NC 28092
Phone (704) 248-0554

1019 N Lafayette St
#2
Shelby, NC 28150
Phone (704) 284-0554

417 W Warren St
Ste A
Shelby, NC 28150
Phone (704) 284-0554

527 Brookdale Dr
Statesville, NC 28677
Phone (704) 284-0554

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1831567676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503978",
            "telephone_number": "704-284-0554",
            "fax_number": "704-448-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-284-0554",
            "fax_number": "704-448-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280923410",
            "country_code": "US",
            "telephone_number": "704-284-0554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 N Lafayette St # 2",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503746",
            "country_code": "US",
            "telephone_number": "704-284-0554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774107",
            "country_code": "US",
            "telephone_number": "704-284-0554",
            "fax_number": "704-448-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16511 Northcross Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785021",
            "country_code": "US",
            "telephone_number": "704-284-0554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 W Warren St Ste A",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505368",
            "country_code": "US",
            "telephone_number": "704-284-0554",
            "fax_number": "704-448-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1446 E Gaston St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924441",
            "country_code": "US",
            "telephone_number": "704-960-5052",
            "fax_number": "704-448-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHELBY WELLNESS & THERAPY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "M.A., LMFT",
        "authorized_official_telephone_number": "704-284-0554"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blackman@shelbytherapy.com",
            "affiliation": "N",
            "endpointDescription": "emaIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "809 N Lafayette St",
            "address_2": "suite A",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blackman@shelbytherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "809 N Lafayette St",
            "address_2": "suite A",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Wellness Partners of NC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Wellness & Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.