MARY JEAN ELDER (NPI# 1306244223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306244223 |
| Entity Type | Individual |
| Full Name | MARY JEAN ELDER |
| Credential | LPC |
| Practice Address |
809 N Lafayette St Ste A Shelby NC 28150 |
| Mailing Address |
809 N Lafayette St Ste A Shelby NC 28150-3886 |
| Practice Telephone | 7042840554 |
| Practice Fax Number | 7044482003 |
| Mailing Telephone | 7049957075 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 11232 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
11232 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
11232 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1371 E Garrison Blvd Ste A, Gastonia, NC 280545155 | 7048330154 | 7048337076 |
| 509c E Main St, Lincolnton, NC 280923409 | 7042840554 | 7044482003 |
| 530 E Main St, Lincolnton, NC 280923410 | 7042788076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083630 | Mary Josephine Elder | Pharmacist | 1111 Catherine St Rm 325, Ann Arbor, MI 48109-2054 | 2020-08-13 |
| 1770936981 | Mary Frances Elder | Massage Therapist | 28442 E River Rd Ste 204205, Perrysburg, OH 43551-2795 | 2016-07-22 |
| 1417084005 | Mary A. Elder | Speech-Language Pathologist | 9810 Bluegrass Pkwy, Louisville, KY 40299-1906 | 2007-02-28 |
| 1861843492 | Mary Jean Elder | Chiropractor | 10815 Farm Rd 2222, Building 3c Suite 100, Austin, TX 78730-1159 | 2016-06-24 |
| 1154725059 | Mary Elder | Occupational Therapist | 3131 Tom Austin Hwy, Springfield, TN 37172-4801 | 2014-10-21 |
| 1730213554 | Mary Ellen Elder | Social Worker | 211 W 56th St, Ste. 8j, New York, NY 10019-4312 | 2007-03-15 |
| 1689634677 | Mary Anne Elder | Nurse Practitioner | 825 Nicollet Mall, Suite 1149, Minneapolis, MN 55402-2606 | 2006-03-24 |
| Street Address |
809 N LAFAYETTE ST STE A |
| City | SHELBY |
| State | NC |
| Zip Code | 28150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372490 | Donna Renee Adams | Counselor | 809 N Lafayette St Ste A, Shelby, NC 28150-3886 | 2019-08-21 |
| 1538647359 | Steve Douglas Wright | Counselor | 809 N Lafayette St Ste A, Shelby, NC 28150-3886 | 2018-08-02 |
| 1366942559 | Cecilia Smith Boheler | Counselor | 809 N Lafayette St Ste A, Shelby, NC 28150 | 2018-02-14 |
| 1306352604 | Toni Jones | Social Worker | 809 N Lafayette St Ste A, Shelby, NC 28150-3886 | 2017-12-21 |
| 1013430529 | Kimberly Arleen Thompson | Counselor | 809 N Lafayette St Ste A, Shelby, NC 28150-3886 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750858627 | Alternatives Residential Care Homes | Counselor | 736 Cherryville Rd, Shelby, NC 28150-3625 | 2018-10-30 |
| 1194202317 | Dimayquoaye A Smith | Counselor | 501 N Lafayette St Ste B, Shelby, NC 28150-4477 | 2018-07-20 |
| 1912328303 | Recovery Foundations LLC | Counselor | 1856 Stony Point Rd, Shelby, NC 28150 | 2014-01-02 |
| 1073873980 | Damon Helton | Counselor | 233 S Trade St, Shelby, NC 28150-2309 | 2012-05-24 |
| 1245535210 | Unlimited Possibilities, Inc | Counselor | 1607 E Dixon Blvd, Shelby, NC 28152-6976 | 2011-01-21 |
| 1871806067 | Personal Development Services, LLC | Counselor | 317 Jennings St, Shelby, NC 28150-5974 | 2010-07-16 |
| 1740786979 | John Olabisi Babajide | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2018-04-05 |
| 1285094680 | Maria Falcioni | Counselor | 200 S Post Rd, Shelby, NC 28152-6269 | 2016-02-26 |
| 1609271840 | Shayla Truett Horn | Counselor | 200 S Post Rd Ste 2, Shelby, NC 28152-6270 | 2014-10-30 |
| 1689964827 | Anna L. George-trietley | Counselor | 331 S Washington St, Shelby, NC 28150-5450 | 2011-04-08 |
| Find all providers in SHELBY | ||||
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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.