Individual provider Active NPI

Shelby Moore Pearce, LPC

  • Professional Counselor
  • Ruston, LA
National Provider Identifier
1851995997
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8406 Issued in LA
Practice address
2102 Floyd Park Dr Ste 2
Ruston, LA 71270-6631
Phone
(318) 255-2922
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 8406 LA Primary

Addresses

Primary practice location

2102 Floyd Park Dr Ste 2
Ruston, LA 71270-6631

Mailing address

2102 Floyd Park Dr Ste 2
Ruston, LA 71270-6631
Phone (318) 255-2922

Other practice location 1

622 Riverside Dr
Monroe, LA 71201-6211
Phone (318) 398-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219000834 LA Practitioner - Mental Health Counselor 6608226576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Solutions Counseling CenterGroup PAC ID 2466821814, 14 clinicians

Practice addresses (Care Compare)

1105 Hudson LN
Monroe, LA 71201-6003
Phone 3182812448313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Counseling Center CurrentSince Nov 24, 2024 Accepting new patients
Family Solutions Pediatrics, LLC PastSince Nov 24, 2024 Accepting new patients

Locations

1105 Hudson Ln
Monroe, LA 71201
Phone (318) 281-2448

2102 Floyd Park Dr
Ste 2
Ruston, LA 71270
Phone (318) 255-2922

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1851995997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 FLOYD PARK DR STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706631",
            "telephone_number": "318-255-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 FLOYD PARK DR STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706631",
            "telephone_number": "318-255-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "318-398-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "SHELBY",
        "middle_name": "MOORE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.