Shawnte Gates, M.S NCC LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A11816 Issued in NC

Practice address

403 E Main St
Yadkinville, NC 27055-8134

Phone

(828) 655-2930

Fax

(336) 677-1271

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strategic Interventions, LLC

  • Community/Behavioral Health Agency
  • Statesville, NC
  • NPI 1841515640
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1932565843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287610964",
            "telephone_number": "828-655-3096",
            "fax_number": "336-677-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558134",
            "telephone_number": "828-655-2930",
            "fax_number": "336-677-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "SHAWNTE",
        "credential": "M.S NCC LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy M Gaska, NP
• Jonathan Duane Gaskins, LCSW
• Gaston Family Health Services, Inc (Kintegra at Yadkin Early College High)
• Gaston Family Health Services, Inc (Kintegra at Yadkin Success Academy)
• Gaston Family Health Services, Inc. (Kintegra at Yadkinville Elementary)
• Keri Smith Gaylord, LCSW
• Gail C Gordon, O.D.
• Scott David Gordon, O.D.
• Lisa Hartley Greene, PTA
• Charles B Gross

• Mental Health Counselor in Yadkinville, NC
• Providers in Yadkinville, 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 Jan 7, 2016; 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.