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TANNER SHIRLEY LPC
NPI 1639833767
Counselor - Mental Health in Seneca, SC

Active since October 25, 2021Opted out of Medicare · through Mar 17, 2028
210 N PINE ST, SENECA, SC 29678(864) 723-4550 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanner Shirley Lpc NPPES

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

TANNER SHIRLEY LPC (NPI 1639833767) is an individual mental health provider in Seneca, South Carolina, licensed in South Carolina (7827) and active in the NPI registry since October 2021. She has opted out of Medicare through March 17, 2028.

NPPES Registry Identity

NPI1639833767
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANNER SHIRLEYCredential: LPC
Location Address210 N PINE STSeneca, SC 29678-3106
Mailing Address231 Taylor RdWest Union, SC 29696-3317 · (864) 985-8625
Phone(864) 723-4550
Sole ProprietorYes
Enumeration DateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1639833767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 7827
210 N PINE ST, Seneca, SC 29678
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tanner Shirley Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2026 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2026
Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MIND OVER MOUNTAINS
Counselor (Mental Health)
210 N PINE ST
SENECA, SC 29678
Oconee County (864) 430-5781

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 Tanner Shirley's NPI number?

The NPI number for Tanner Shirley is 1639833767. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Tanner Shirley located?

Tanner Shirley practices at 210 N Pine St, Seneca, SC 29678. The listed phone number is (864) 723-4550.

What is Tanner Shirley's specialty?

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

Is Tanner Shirley enrolled in Medicare?

No. Tanner Shirley has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tanner Shirley was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.