BLACKWATER COUNSELING AND WELLNESS
NPI 1487489134
Counselor - Professional in Lynchburg, VA
About Blackwater Counseling And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKWATER COUNSELING AND WELLNESS (NPI 1487489134) is a healthcare organization registered as a professional in Lynchburg, Virginia and active in the NPI registry since September 2024. The organization lists Holly Shumate, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blackwater Counseling And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Blackwater Counseling And Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shumate Management LLC's NPI number?
The NPI number for Shumate Management LLC is 1487489134. It was assigned to this organization in the NPPES registry on September 3, 2024. The provider is doing business as Blackwater Counseling And Wellness.
Where is Shumate Management LLC located?
Shumate Management LLC is located at 2900 Old Forest Rd Ste A, Lynchburg, VA 24501. The listed phone number is (206) 235-0968.
What is Shumate Management LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shumate Management LLC enrolled in Medicare?
Yes. Shumate Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shumate Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Shumate Management LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shumate Management LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Blackwater Counseling And Wellness · NPI 1487489134
Professional organization in Lynchburg, Virginia. Organization record, active in the CMS NPPES registry since September 3, 2024.
## Identity
- **NPI:** 1487489134 (Entity type: Organization)
- **Enumerated:** September 3, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Legal business name:** Shumate Management Llc
- **Organization subpart:** No
- **Authorized official:** Holly Shumate, OWNER
## Practice location
- **Address:** 2900 OLD FOREST RD STE A, Lynchburg, VA 24501-2335
- **Phone:** (206) 235-0968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487489134) · Data from the CMS NPPES public registry.