MRS. JENIFER KNIGHT SHADRICK MA QP LPC LCAS-A NPI 1780030270

NPI Information

  • NPI: 1780030270
  • Provider Name: MRS. JENIFER KNIGHT SHADRICK, MA, QP, LPC, LCAS-A
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 NORWOOD FOREST LN
    TOBACCOVILLE, NC
    ZIP 27050
  • Phone: (866) 700-1606

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NPI Details

MRS. Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A is a professional counselor in Tobaccoville, NC with 10 years of experience. MRS. Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A NPI is 1780030270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 NORWOOD FOREST LN
TOBACCOVILLE, NC
ZIP 27050-498
Phone: (866) 700-1606
Fax: (866) 338-5921

The NPI 1780030270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/13/2016 and was last updated on 8/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-22760NORTH CAROLINANo
2101YP2500XCounselorProfessional12241NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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