Jeffrey Scott Shaeffer, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A12759 Issued in NC

Practice address

106 Fountain Brook Cir Ste B
Cary, NC 27511-4478

Phone

(919) 377-9449

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1831661198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 BECKWITH RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275237108",
            "telephone_number": "919-389-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOUNTAIN BROOK CIR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114478",
            "telephone_number": "919-377-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEFFER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sfaba NC LLC
• Victoria Sforza, LCMHCA
• SGF North Carolina, PLLC
• Anjail Shaabzz
• Tracy Shabu
• Elizabeth N Shaffer, MD
• Jolie Shafik, BCBA
• Shah and Associates Family Practice
• Bhavna Shah, DDS
• Dhirenkumar Navnitlal Shah, MD

• Mental Health Counselor in Cary, NC
• Providers in Cary, 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 Dec 27, 2018; 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.