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

Shana Gordon Waltman, MA, LCMHC, CRC

Individual provider Professional Counselor · NPI 1184802266

Shana Gordon Waltman, MA, LCMHC, CRC is an Undefined Non-Physician Type (Specify) in Greensboro, North Carolina. Qualified in 2007, 19 years ago. Practices with Tree of Life Counseling PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

5 Oak Branch Dr Ste H
Greensboro, NC 27407-2157
Phone: (336) 288-9190
Fax: (336) 450-4318
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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 S7308 (NC)

Record details

NPI number1184802266
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCMHC , CRC
Sole proprietorNo
NPI enumeratedJanuary 31, 2008
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Tree Of Life Counseling Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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