Individual provider Active NPI

Kerri N Shiflett, LPC

  • Counselor
  • Raleigh, NC
National Provider Identifier
1952587677
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6834 Issued in NC
Practice address
6050 Six Forks Rd
Raleigh, NC 27609-8601
Phone
(919) 870-8699
Fax
(919) 870-8544
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6834 NC Primary

Addresses

Primary practice location

6050 Six Forks Rd
Raleigh, NC 27609-8601

Mailing address

6050 Six Forks Rd
Raleigh, NC 27609-8601
Phone (919) 870-8699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240219002631 NC Practitioner - Mental Health Counselor 8123462082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4505 Fair Meadows LN
Suite 102
Raleigh, NC 27607-6449
Phone (919) 670-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC CurrentSince Jan 8, 2024 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Jan 8, 2024 Accepting new patients
Youth Development Corporation of America Past Accepting new patients
Caring Family Network Past Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

4505 Fair Meadows Ln
Ste 102
Raleigh, NC 27607
Phone (919) 670-3939

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1952587677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098601",
            "telephone_number": "919-870-8699",
            "fax_number": "919-870-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098601",
            "telephone_number": "919-870-8699",
            "fax_number": "919-870-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "KERRI",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "6834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.