Active NPI
Laquesta Shena Sims, LPC, NCC, LCAS,LCMHC
- Counselor
- Charlotte, NC
National Provider Identifier
1841567393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9103
- Practice address
- 200 Hawthorne LN
Charlotte, NC 28204-2515 - Phone
- (704) 384-9414
- Fax
- (704) 384-5735
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A9103 | NC | |
| Professional Counselor | 101YP2500X | 9103 | NC | |
| Counselor | 101Y00000X | 9103 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
Charlotte, NC 28204-2515
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
301 E Washington St
Suite 101
Greensboro, NC 27401-2957
Phone (336) 333-6860 ext. 266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9103 | NC | MD | Professional Counselor |
| 9103 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1841567393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "704-384-9414",
"fax_number": "704-384-5735"
}
],
"practiceLocations": [
{
"address_1": "301 E Washington St",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274012957",
"country_code": "US",
"telephone_number": "336-333-6860 x266",
"fax_number": "419-781-7287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "LAQUESTA",
"middle_name": "SHENA",
"name_prefix": "Ms.",
"credential": "LPC, NCC, LCAS,LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A9103",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9103",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "9103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.