Paul R Shaffer, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

610 Issued in NC

Practice address

9820 Northcross Center CT
Huntersville, NC 28078-7356

Phone

(704) 578-2725

NPI assigned

Aug 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1861507717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 CHAPEL GROVE CROSSING DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784974",
            "telephone_number": "704-578-2725",
            "fax_number": "704-264-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 NORTHCROSS CENTER CT",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787356",
            "telephone_number": "704-578-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "1108Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Melissa Settle, DDS
• Margaret Dunlap Sewalish, PA
• Daniel P Seward, M.D.
• Michael John Sexton, D.O.
• Cari Marie Sgroi, PT, DPT, MSCS
• Ashka Vipulkumar Shah, MPH, RD
• Binit Prabhulal Shah, M.D.
• G. Adam Shapiro I, DPM
• Ehab M Sharawy, M.D.
• Ariana Sharma

• Mental Health Counselor in Huntersville, NC
• Providers in Huntersville, 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 Mar 15, 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.

Verify at the official NPI Registry.