Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shelwilbed O. Wray, NCC, CAS, LCMHC-S

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174621528

Mr. Shelwilbed O. Wray, NCC, CAS, LCMHC-S is a Mental Health Counselor in Southern Pines, North Carolina. Qualified in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
35
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

780 NW Broad St Ste 210
Southern Pines, NC 28387-4102
Phone: (910) 725-2074
Fax: (910) 725-2084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S7538 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1945 (NC)

Record details

NPI number1174621528
Entity typeIndividual (Type 1)
GenderMale
Credentials NCC , CAS , LCMHC-S
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Southern Pines