IndividualActive
Jordan Shore, LCMHCA
NPI 1174301139 · Professional Counselor · Ronda, NC
Jordan Shore, LCMHCA is a Professional Counselor provider in Ronda, NC (NPI 1174301139).
Provider details
- NPI number
- 1174301139
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHCA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A19232 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14072 Elkin Highway 268
Ronda, NC 28670-9199
Phone: (336) 827-0089
Fax: (844) 676-0500
Street-level locationGet directions
Mailing address
4420 US 21 Hwy
Hamptonville, NC 27020-7319
Registry dates
- Enumerated
- 2023-09-20
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Jordan Shore's NPI number?
- Jordan Shore's National Provider Identifier (NPI) is 1174301139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Shore's specialty?
- Jordan Shore is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jordan Shore located?
- Jordan Shore's practice location on file with NPPES is 14072 Elkin Highway 268, Ronda, NC 28670-9199.
- What is Jordan Shore's phone number?
- The practice phone number listed in the NPPES registry for Jordan Shore is (336) 827-0089.
- Is Jordan Shore's NPI active?
- Yes — Jordan Shore's NPI (1174301139) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.