Active NPI
Shawn W Moffitt, LCMHC, LCAS, NCC
- Mental Health Counselor
- Hillsborough, NC
National Provider Identifier
1871831131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10345
- Practice address
- 110 Chalet Dr
Hillsborough, NC 27278-7767 - Phone
- (919) 309-6569
- NPI assigned
- Jan 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-3442 | NC | |
| Mental Health Counselor | 101YM0800X | 10345 | NC | Primary |
Addresses
Primary practice location
110 Chalet Dr
Hillsborough, NC 27278-7767
Mailing address
110 Chalet Dr
Hillsborough, NC 27278-7767
Phone (919) 309-6569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 19, 2024 through Feb 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-3442 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 10345 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1871831131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CHALET DR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272787767",
"telephone_number": "919-309-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CHALET DR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272787767",
"telephone_number": "919-309-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "SHAWN",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "LCMHC, LCAS, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-3442",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.