Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelby Daron Thompson, MS, LPC

Individual provider Professional Counselor · NPI 1457936056

Shelby Daron Thompson, MS, LPC is a Mental Health Counselor in Moraine, Ohio. Qualified in 2022, 4 years ago. Practices with South Community Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
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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 E.2606611 (OH)

Record details

NPI number1457936056
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice South Community Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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