Shanice Monae Stephenson-walcott, LCMHC in Raleigh, NC

Shanice Monae Stephenson-walcott, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Raleigh, North Carolina. Her current practice location is 5306 Six Forks Rd Ste 107, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 418-1613.

Shanice Monae Stephenson-walcott is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043871924.

Contact Information

	Shanice Monae Stephenson-walcott, LCMHC
	5306 Six Forks Rd Ste 107, Raleigh, NC 27609-4468
	(919) 418-1613
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shanice Monae Stephenson-walcott
Gender	Female
Speciality	Counselor - Mental Health
Location	5306 Six Forks Rd Ste 107, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043871924
Provider Enumeration Date: 06/22/2019
Last Update Date: 05/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6305369315
Enrollment ID: I20250401000100

Medical Identifiers

Medical identifiers for Shanice Monae Stephenson-walcott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043871924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shanice Monae Stephenson-walcott allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanice Monae Stephenson-walcott is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shanice Monae Stephenson-walcott, LCMHC 5306 Six Forks Rd Ste 107, Pmb 1014, Raleigh, NC 27609-4468 Ph: (984) 204-1048	Shanice Monae Stephenson-walcott, LCMHC 5306 Six Forks Rd Ste 107, Raleigh, NC 27609-4468 Ph: (919) 418-1613

Reviews and Comments

Counselor in Raleigh, NC

Mr. Duncan Njaramba Kihoro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Willowglen Dr, Raleigh, NC 27616 Phone: 919-266-7784
Katherine Ann Good, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W Millbrook Rd, Raleigh, NC 27609 Phone: 540-998-9704
Susan L Dowd, MSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Bella Park Trl Apt 418, Raleigh, NC 27613 Phone: 919-798-3419
James Treires, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5509 Creedmoor Rd, Raleigh, NC 27612 Phone: 919-573-6520 Fax: 919-573-6555
Kimberly Hope Brandon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6516 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615 Phone: 919-423-2310
Mr. Gabriel Rosenboro, BS CRIMINAL JUSTICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Old Poole Rd, Raleigh, NC 27610 Phone: 919-268-9660
Victoria Baxter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Red Ln, Raleigh, NC 27606 Phone: 706-836-1713

Shanice Monae Stephenson-walcott, LCMHC - Medicare Counselor in Raleigh, NC