SHAWN WILLARD (NPI# 1477921708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477921708 |
| Entity Type | Individual |
| Full Name | SHAWN WILLARD |
| Credential | LPCA, NCC, LCASA |
| Practice Address |
10801 Monroe Rd Ste A Matthews NC 28105-8336 |
| Practice Telephone | 7042374240 |
| Practice Fax Number | 7042374240 |
| Mailing Telephone | 7042374240 |
| Mailing Fax Number | 7042374240 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A11559 | NC | Behavioral Health & Social Service Providers |
| Street Address |
10801 MONROE RD STE A |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160374 | Melissa A Perez | Physician Assistant | 10801 Monroe Rd Ste A, Matthews, NC 28105-8336 | 2018-07-17 |
| 1699277806 | Strang'e Morgan | Social Worker | 10801 Monroe Rd Ste A, Matthews, NC 28105 | 2018-03-03 |
| 1194187286 | Kim Addo | Counselor | 10801 Monroe Rd Ste A, Matthews, NC 28105-8336 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848068 | Lawrence Craig Loughery | Counselor | 1126 Sam Newell Rd Ste Candd, Matthews, NC 28105-5083 | 2019-06-01 |
| 1053879320 | William Keese | Counselor | 3617 Weddington Ridge Ln, Matthews, NC 28105-7704 | 2019-03-06 |
| 1831680289 | Brandon Lee Allison | Counselor | 6750 St. Peters Lane, Suite 300, Matthews, NC 28105-8458 | 2018-05-22 |
| 1548780679 | Cynthia Lea Morris | Counselor | 1126 Sam Newell Rd Ste A, Matthews, NC 28105-5084 | 2017-06-20 |
| 1457808289 | Samantha Lashawn Mcgirt | Counselor | 5052 Parkview Way, Matthews, NC 28104-6980 | 2016-09-09 |
| 1013395300 | South Charlotte Family Counseling | Counselor | 1214 Brightmoor Drive, Matthews, NC 28105 | 2015-05-07 |
| 1003258880 | Allison Lindsay Becker | Counselor | 1254 Mann Dr Ste 100, Matthews, NC 28105-5545 | 2013-07-22 |
| 1245594720 | Debbie Ann Breen | Counselor | 1214 Brightmoor Dr, Matthews, NC 28105-8817 | 2012-06-28 |
| 1649503269 | Basic Concepts - LLC | Counselor | 9930 Treeside Ln, Matthews, NC 28105-7221 | 2009-09-14 |
| 1306086343 | Juliene Simpson Cook | Counselor | 5903 Deal Rd, Matthews, NC 28104-7973 | 2009-03-04 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.