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MRS. JENIFER KNIGHT SHADRICK MA, QP, LPC, LCAS-A
NPI 1780030270
Counselor - Professional in Tobaccoville, NC

Active since May 13, 2016PECOS EnrolledAccepts Medicare Assignment
150 NORWOOD FOREST LN, TOBACCOVILLE, NC 27050(866) 700-1606(866) 338-5921 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2021, Jul 8, 2019, May 13, 2016 (3 updates tracked since 2016).

About Mrs. Jenifer Knight Shadrick Ma, Qp, Lpc, Lcas-a NPPES

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

MRS. JENIFER KNIGHT SHADRICK MA, QP, LPC, LCAS-A (NPI 1780030270) is an individual professional provider in Tobaccoville, North Carolina, licensed in North Carolina (12241) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780030270
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENIFER KNIGHT SHADRICKCredential: MA, QP, LPC, LCAS-A
Location Address150 NORWOOD FOREST LNTobaccoville, NC 27050-9498
Mailing Address150 Norwood Forest LnTobaccoville, NC 27050-9498 · (866) 700-1606 · Fax (866) 338-5921
Phone(866) 700-1606
Fax(866) 338-5921
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 13, 2016
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1780030270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 12241
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-22760 (NC)
150 NORWOOD FOREST LN, Tobaccoville, NC 27050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jenifer Knight Shadrick Ma, Qp, Lpc, Lcas-a 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 ID840649596
PECOS Enrollment IDI20231207000658
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.

Medicare Billing Reassignment

Medicare enrollment records show Jenifer Shadrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriveworks Clinical - North Carolina PC
100 mi
Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group
NPI 1003303082 (919) 424-6045

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 Jenifer Shadrick's NPI number?

The NPI number for Jenifer Shadrick is 1780030270. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Jenifer Shadrick located?

Jenifer Shadrick practices at 150 Norwood Forest Ln, Tobaccoville, NC 27050. The listed phone number is (866) 700-1606.

What is Jenifer Shadrick's specialty?

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

Is Jenifer Shadrick enrolled in Medicare?

Yes. Jenifer Shadrick 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.

Which organization bills Medicare for Jenifer Shadrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenifer Shadrick reassigns Medicare benefits to Thriveworks Clinical - North Carolina PC (Raleigh, NC). The 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 Jenifer Shadrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenifer Shadrick accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare and UnitedHealthcare list Jenifer Shadrick 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 Jenifer Shadrick was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.