SHINE COUNSELING, PLLC (NPI# 1871066019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871066019 |
| Entity Type | Organization |
| Organization Name | SHINE COUNSELING, PLLC |
| Practice Address |
1931 J N Pease Pl Ste 104 Charlotte NC 28262-4540 |
| Mailing Address |
2422 Coneflower Dr Charlotte NC 28213-9284 |
| Practice Telephone | 7047349480 |
| Practice Fax Number | 8447865796 |
| Mailing Telephone | 9126578839 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | KIMBERLY PARKER (OWNER) |
| Authorized Official Telephone | 7047349480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1041C0700X | 05 |
| Street Address |
1931 J N PEASE PL STE 104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033394549 | Amanda J. Hebert | Specialist | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 | 2008-01-02 |
| 1538628367 | Chelsey Blaire Brown | Counselor | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 | 2019-03-19 |
| 1144705187 | Premcare | Community Based Residential Treatment Facility, Mental Illness | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 | 2018-09-26 |
| 1457844060 | Melissa M Reed | Counselor | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 | 2018-06-08 |
| 1558879460 | Qc Counseling Services, Pllc | Counselor | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262 | 2018-01-12 |
| 1164966388 | Breah Robinson | Social Worker | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 | 2016-12-07 |
| 1326416835 | Brandi Lynn Stone | Social Worker | 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767785 | Season of Change, Pllc | Clinic/Center | 933 Louise Ave # 407, Charlotte, NC 28204-2147 | 2020-10-10 |
| 1164038782 | B&g Counseling Services Pllc | Clinic/Center | 11220 Elm Ln Ste 200, Charlotte, NC 28277-0450 | 2020-09-18 |
| 1477166197 | Compass Counseling and Consulting LLC | Clinic/Center | 8411 Habersham Pointe Cir, Charlotte, NC 28226-4792 | 2020-08-24 |
| 1790340172 | Kolb Counseling Group Pllc | Clinic/Center | 6747 Fairview Rd Ste C, Charlotte, NC 28210-3359 | 2019-05-01 |
| 1316400088 | United Primary Diagnostic Center | Clinic/Center | 2103 N Graham St Ste B, Charlotte, NC 28206-2548 | 2019-04-10 |
| 1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1396225348 | Real Talk Counseling | Clinic/Center | 2128 Mcclintock Rd, Charlotte, NC 28205-5114 | 2018-08-20 |
| 1811475569 | Art of Care Counseling | Clinic/Center | 6338 Shining Rock Ct, Charlotte, NC 28277-0118 | 2018-08-04 |
| 1891284675 | Ashakti Wellness & Yoga LLC | Clinic/Center | 1200 E Morehead St Ste 20d, Charlotte, NC 28204-2872 | 2018-05-07 |
| 1558860239 | Advanced Community Services LLC | Clinic/Center | 4700 Farm Pond Ln, Charlotte, NC 28212-8500 | 2018-02-07 |
| Find all providers in CHARLOTTE | ||||
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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.