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

Shakeyla Boulware

Individual provider Mental Health Counselor · NPI 1437835501

Shakeyla Boulware is a Mental Health Counselor in Columbia, South Carolina. Qualified in 2020, 6 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
6
Licensed in
NC, SC
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

2000 Park St Ste 101
Columbia, SC 29201-2011
Phone: (803) 319-2558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8980 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 20301 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 20301 (NC)

Record details

NPI number1437835501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia