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LISA PATRICE SHELTON MS
NPI 1104090745
Counselor - Mental Health in Winston Salem, NC

Active since April 15, 2008
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103(336) 770-2477 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Jun 6, 2022, Feb 21, 2020 (3 updates tracked since 2020).

About Lisa Patrice Shelton Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA PATRICE SHELTON MS (NPI 1104090745) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (S15221) and active in the NPI registry since April 2008. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104090745
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA PATRICE SHELTONCredential: MS
Location Address250 EXECUTIVE PARK BLVD STE 120Winston Salem, NC 27103-1534
Mailing Address132 Queensberry CtGreensboro, NC 27405-4899 · (224) 735-1210
Phone(336) 770-2477
Sole ProprietorYes
Enumeration DateApril 15, 2008
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1104090745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · S15221✔ Licensed in NC · 15221
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17438 (IL), 25760 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.008438 (IL)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 180.008438 (IL)
250 EXECUTIVE PARK BLVD STE 120, Winston Salem, NC 27103
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Other Names 1

Former Name (1)Lisa P Shelton Ms, Lcpc, Caadc

Secondary Practice Locations 2

Location 11132 N Church StGreensboro, NC 27401-1039 · Phone (877) 876-3783 · Fax (855) 420-6402
Location 2132 Queensberry CtGreensboro, NC 27405-4899 · Phone (224) 735-1210

Other Identifiers 1

Medicaid39168700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVA LILYAN COX LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
BRENDAN JAMES BOATMAN
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 608-4037
LSBF PROFESSIONAL COUNSELING SERVICES, PLLC
Community/Behavioral Health
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 266-3289
ELIZABETH WAGNER MECHAM LCMHC-A
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 608-4037
KEOTIA EVETTE SMITHERMAN CASTERLOW LCMHCA
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 509-7616
KESEAN LEGRANT MOBLEY LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
ALEXUS NACOLE MOORE MSW, LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 671-7420
MR. TERENCE EUGENE HUNT LCMHCS, LCAS
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Shelton's NPI number?

The NPI number for Lisa Shelton is 1104090745. It was assigned to this individual provider in the NPPES registry on April 15, 2008. The provider is also known as Lisa P Shelton Ms, Lcpc, Caadc.

Where is Lisa Shelton located?

Lisa Shelton practices at 250 Executive Park Blvd Ste 120, Winston Salem, NC 27103. The listed phone number is (336) 770-2477.

What is Lisa Shelton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Lisa Shelton accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lisa Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Shelton was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.