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THOMAS SHAFFER LCMHC-S
NPI 1861789604
Counselor - Professional in Winston Salem, NC

Active since June 30, 2011PECOS Enrolled
1615 POLO RD, WINSTON SALEM, NC 27106(336) 722-7266 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2023, May 19, 2023 (2 updates tracked since 2023).

About Thomas Shaffer Lcmhc-s NPPES

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

THOMAS SHAFFER LCMHC-S (NPI 1861789604) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (9580) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861789604
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTHOMAS SHAFFERCredential: LCMHC-S
Location Address1615 POLO RDWinston Salem, NC 27106-3831
Mailing Address713 S Marshall StWinston Salem, NC 27101-5808 · (336) 722-7266 · Fax (336) 201-0538
Phone(336) 722-7266
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 30, 2011
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1861789604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 9580
1615 POLO RD, Winston Salem, NC 27106
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Shaffer Lcmhc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032552955
PECOS Enrollment IDI20240208000037
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 Thomas Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shaffer Counseling
4.3 mi
Mental Health
1396 OLD MILL CIR STE F
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1538973532 (336) 283-2684

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

VIRGINIA LEIGH LOVE
Social Worker (Clinical)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MS. SOPHIA HEATON MSW, LCSW
Social Worker (Clinical)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MIKAELA REESE CALDWELL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
ANNA LEISA SAUSER LPCA
Counselor (Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MS. VALERIE VESTAL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MR. JAMES AL GREENE CCS, LCAS
Counselor (Addiction (Substance Use Disorder))
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
ADAM CARLTON MCDONOUGH M.D.
Psychiatry & Neurology (Psychiatry)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
JANET G NESTOR MA, LPC
Counselor (Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 794-2343

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 Thomas Shaffer's NPI number?

The NPI number for Thomas Shaffer is 1861789604. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Thomas Shaffer located?

Thomas Shaffer practices at 1615 Polo Rd, Winston Salem, NC 27106. The listed phone number is (336) 722-7266.

What is Thomas Shaffer's specialty?

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

Is Thomas Shaffer enrolled in Medicare?

Yes. Thomas Shaffer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shaffer reassigns Medicare benefits to Shaffer Counseling (Winston Salem, 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 Thomas Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Shaffer accept?

Health plans from Blue Cross and Blue Shield of NC list Thomas Shaffer 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 Thomas Shaffer was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.