SHAKEYLA BOULWARE
NPI 1437835501
Counselor - Professional in Columbia, SC

Active since June 23, 2023PECOS EnrolledAccepts Medicare Assignment
2000 PARK ST STE 101, COLUMBIA, SC 29201(803) 319-2558 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Nov 21, 2023, Jun 23, 2023 (3 updates tracked since 2023).

About Shakeyla Boulware NPPES

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

SHAKEYLA BOULWARE (NPI 1437835501) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (8980) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437835501
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHAKEYLA BOULWARE
Location Address2000 PARK ST STE 101Columbia, SC 29201-2011
Mailing Address2000 Park St Ste 101Columbia, SC 29201-2011 · (803) 319-2558
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 23, 2023
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1437835501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in SC · 8980 Licensed in NC · 20301
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 20301 (NC)
2000 PARK ST STE 101, Columbia, SC 29201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shakeyla Boulware is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799207270
PECOS Enrollment IDI20250314000000, I20250404002453
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
2000 PARK ST STE 101
COLUMBIA, SC 29201
Home Health
2000 PARK ST STE 101
COLUMBIA, SC 29201
Behavior Analyst
2000 PARK ST STE 101
COLUMBIA, SC 29201
Massage Therapist
2000 PARK ST STE 101
COLUMBIA, SC 29201
Nurse Practitioner (Psychiatric/Mental Health)
2000 PARK ST STE 101
COLUMBIA, SC 29201

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 Shakeyla Boulware's NPI number?

The NPI number for Shakeyla Boulware is 1437835501. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Shakeyla Boulware located?

Shakeyla Boulware practices at 2000 Park St Ste 101, Columbia, SC 29201. The listed phone number is (803) 319-2558.

What is Shakeyla Boulware's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shakeyla Boulware enrolled in Medicare?

Yes. Shakeyla Boulware is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shakeyla Boulware accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shakeyla Boulware 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 Shakeyla Boulware was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.