SHAWNTAY THERESA FENYO WOODS LCPC
NPI 1821562190
Counselor - Professional in Henderson, NC

Active since January 19, 2019PECOS Enrolled
1212 FLEMINGTOWN RD, HENDERSON, NC 27537(443) 962-2479 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2025, Mar 9, 2024, Apr 9, 2020 and 2 more (5 updates tracked since 2019).

About Shawntay Theresa Fenyo Woods Lcpc NPPES

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

SHAWNTAY THERESA FENYO WOODS LCPC (NPI 1821562190) is an individual professional provider in Henderson, North Carolina, licensed in North Carolina (21683) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1821562190
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHAWNTAY THERESA FENYO WOODSCredential: LCPC
Location Address1212 FLEMINGTOWN RDHenderson, NC 27537-3226
Mailing Address1212 Flemingtown RdHenderson, NC 27537-3226 · (443) 962-2479
Sole ProprietorNo
Enumeration DateJanuary 19, 2019
Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1821562190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in NC · 21683 Licensed in MD · LC10414 Licensed in VA · 0701014697
1212 FLEMINGTOWN RD, Henderson, NC 27537

Other Names 1

Former Name (1)Shawntay Theresa Fenyo Lcpc

Secondary Practice Locations 6

Location 18146 Quarterfield RdSevern, MD 21144-2705 · Phone (443) 303-7404
Location 21811 Saunders WayGlen Burnie, MD 21061-4331 · Phone (443) 962-2479
Location 31177 Annapolis Rd Unit 118Odenton, MD 21113-7505 · Phone (443) 962-2479
Location 4946 Nabbs Creek RdGlen Burnie, MD 21060 · Phone (410) 839-4600 · Fax (443) 640-4358
Location 5710 Aquahart RdGlen Burnie, MD 21061-3968 · Phone (443) 303-7404
Location 6440 Monticello Ave Ste 1802Norfolk, VA 23510-2670 · Phone (443) 962-2479

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Shawntay Fenyo Woods is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SHAWNTAY THERESA FENYO WOODS LCPC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1212 FLEMINGTOWN RD
HENDERSON, NC 27537
Counselor (Professional)
1212 FLEMINGTOWN RD
HENDERSON, NC 27537

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821562190, enumerated as an "individual" on January 19, 2019.

The provider is located at 1212 FLEMINGTOWN RD HENDERSON, NC 27537 and the phone number is (443) 962-2479.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.