LISA PATRICE SHELTON MS
NPI 1104090745
Counselor - Mental Health in Winston Salem, NC
NPI Status: Active since April 15, 2008
Contact Information
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 770-2477
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
About LISA SHELTON
This page provides the complete NPI Profile along with additional information for Lisa Shelton, a provider established in Winston Salem, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1104090745 assigned on April 2008. The practitioner's primary taxonomy code is 101YM0800X with license number S15221 (NC). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1104090745
- Provider Name
- LISA PATRICE SHELTON MS
- Other Name
- LISA P SHELTON MS, LCPC, CAADC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103
- Location Phone
- (336) 770-2477
- Mailing Address
- 132 QUEENSBERRY CT GREENSBORO, NC 27405
- Mailing Phone
- (224) 735-1210
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-15-2008
- Last Update Date
- 03-21-2023
- Code Navigator
A mental health counselor like Lisa Shelton provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Secondary Locations
- 1132 N Church St
Greensboro, NC 27401
(877) 876-3783 - 132 Queensberry Ct
Greensboro, NC 27405
(224) 735-1210
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- S15221
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 17438 (IL) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 25760 (NC) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 15221 (NC) |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 180.008438 (IL) |
| 5 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 180.008438 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Silver Standard | with Novant Health - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Secure - HMO
- Secure | with Atrium Health - HMO
- Silver Classic - HMO
- Silver Classic | with Atrium Health - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard | with Atrium Health - HMO
- Silver Simple Diabetes - HMO
- Silver Simple Diabetes | with Atrium Health - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple PCP Saver | with Atrium Health - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39168700 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 9 | 0 | 7 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 9 | 0 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 9 + 0 + 7 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1104090745 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639866494 | KEOTIA EVETTE SMITHERMAN CASTERLOW LCMHCA Individual | Counselor (Mental Health) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 509-7616 |
| 1972388478 | JOSEPH HENRY NIENSTEDT LCSWA Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 577-0966 |
| 1104449305 | MATTHEW REILAND LCSW, LCAS Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1497453187 | LSBF PROFESSIONAL COUNSELING SERVICES, PLLC Organization | Community/Behavioral Health | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 266-3289 |
| 1912633801 | MICHAELA SIMONE HENDERSON MS, LCMHCA, NCC Individual | Counselor (Mental Health) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1720098502 | MR. TERENCE EUGENE HUNT LCMHCS, LCAS Individual | Counselor (Addiction (Substance Use Disorder)) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1639928351 | KESEAN LEGRANT MOBLEY LCSWA Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1710734165 | ALEXUS NACOLE MOORE MSW, LCSWA Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 671-7420 |
| 1346084324 | MONTEOUS JERELL CHEELY LMFTA Individual | Marriage & Family Therapist | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 702-4777 |
| 1770821449 | ALEXANDRA MIRNA FUENTES-WHITMAN LCSW Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1831964410 | STEPHEN MARIO BAGNONI LCSWA Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1750958187 | ALEXA GILLIAN BRENNER LCSW Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
| 1174418750 | AVA LILYAN COX LCSWA Individual | Social Worker (Clinical) | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103 (336) 770-2477 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104090745, enumerated in the NPI registry as an "individual" on April 15, 2008
The provider is located at 250 Executive Park Blvd Ste 120 Winston Salem, Nc 27103 and the phone number is (336) 770-2477
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 15, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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