Individual provider

Lisa Shelton, MS

Mental Health Counselor Addiction (Substance Use Disorder) Counselor Professional Counselor

Lisa Shelton, MS is a Mental Health Counselor in Winston Salem, NC, registered under NPI 1104090745. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 250 EXECUTIVE PARK BLVD STE 120, Winston Salem, NC 27103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

250 EXECUTIVE PARK BLVD STE 120, Winston Salem, NC 27103 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
S15221 NC Mental Health Counselor primary
17438 IL Addiction (Substance Use Disorder)…
25760 NC Addiction (Substance Use Disorder)…
15221 NC Mental Health Counselor
180.008438 IL Professional Counselor
180.008438 IL Marriage & Family Therapist

Licences are recorded in 2 states: NC, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and North Carolina. The practice address on file is in Winston Salem, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
17438
Specialty
Addiction (Substance Use Disorder)…
Verify with the IL board →
NC North Carolina practice address
Licence
S15221
Specialty
Mental Health Counselor
Verify with the NC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health S15221 NC primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 17438 IL
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 25760 NC
101YM0800X Mental Health Counselor Mental Health 15221 NC
101YP2500X Professional Counselor Professional 180.008438 IL
106H00000X Marriage & Family Therapist 180.008438 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104090745 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 15, 2008
Last updatedMar 21, 2023
StatusActive
Sole proprietorYes
CredentialMS
Practice address 250 EXECUTIVE PARK BLVD STE 120
Winston Salem, NC 27103
(336) 770-2477
Mailing address 132 QUEENSBERRY CT
Greensboro, NC 27405
Other identifiers 39168700 (WI)
The last update on file is Mar 21, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104090745 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 9 0 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 9 0 7 8

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104090745?
NPI 1104090745 is the National Provider Identifier assigned to Lisa Shelton, MS in Winston Salem, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Lisa Shelton, MS?
The phone number on file with NPPES is (336) 770-2477, last updated Mar 21, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104090745 a valid number?
Yes. 1104090745 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.