Shepherd Way Counseling Associates

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4521 Issued in NC

Legal business name

SHEPHERD WAY COUNSELING ASSOCIATES

Practice address

7202 W Wilkinson Blvd Ste E
Belmont, NC 28012-6224

Phone

(704) 825-0541

Fax

(704) 825-0542

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa McDaniel, M. ED., LPC, NCCNPI 1790842409

Title

Clinical Therapsit

Phone

(704) 825-0541

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Leigh McDaniel, M. ED., LPC, NCC

  • Professional Counselor
  • Belmont, NC
  • NPI 1790842409
  NPD (past) Authorized official
• Makensie Mauney-McDaniel

  • Mental Health Counselor
  • Belmont, NC
  • NPI 1811864457

  Professional

  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1942233341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ASHELY GLEN LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280126524",
            "telephone_number": "704-825-0541",
            "fax_number": "704-825-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 W WILKINSON BLVD STE E",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280126224",
            "telephone_number": "704-825-0541",
            "fax_number": "704-825-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD WAY COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL THERAPSIT",
        "authorized_official_telephone_number": "704-825-0541",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102508",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Belmont, NC
• Providers in Belmont, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.