Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134051634 Individual Practitioner Female Practitioner

Kerrie A Shively

Counselor - Professional • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

Kerrie Shively is a registered healthcare professional specializing in Counselor - Professional in Williamsburg, VA. Practice services are available at 1158 PROFESSIONAL DR STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1158 Professional Dr Ste G

Williamsburg, VA 231856618

Telephone 7573496463

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Williamsburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
124 Specialists

Practicing in Williamsburg, VA (6609 Statewide)

Telehealth Adoption Rate
11.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701016236

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Laura Mangelsdorf , LCSW

Social Worker - Clinical

NPI 1437036944

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2026

Registered at 1158 PROFESSIONAL DR STE G, WILLIAMSBURG, VA 231856618 (Tel: 7573496463)

📍
Updated Business Mailing Address June 01, 2026

Registered at 1158 PROFESSIONAL DR STE G, WILLIAMSBURG, VA 231856618 (Tel: 7573496463)

👤
Provider Name / Credentials Updated June 01, 2026

Recorded as KERRIE SHIVELY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2026

Counselor (License #0701016236 in VA)

🟢
Initial NPI Registration & Enumeration June 01, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134051634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2026
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

1158 Professional Dr Ste G

Williamsburg, VA 231856618

Phone: 7573496463

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.