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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043891039

Shannon Brenee Judd, LCMHC is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2020, 6 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

9208 Falls Of Neuse Rd Ste 201
Raleigh, NC 27615-2438
Phone: (919) 277-0253
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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 16438 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X · Licence A16438 (NC)

Record details

NPI number1043891039
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 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 Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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