Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Shaffer, LCMHC-S

Individual provider Professional Counselor · NPI 1861789604

Thomas Shaffer, LCMHC-S is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2006, 20 years ago. Practices as a sole proprietor and offers telehealth. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2011
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Practice location Address checks out

1615 Polo Rd
Winston Salem, NC 27106-3831
Phone: (336) 722-7266
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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 9580 (NC)

Record details

NPI number1861789604
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC-S
Sole proprietorYes
NPI enumeratedJune 30, 2011
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Winston Salem