MEDICARE: SHADE TREE COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1427912948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHADE TREE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	1821 BULL RUN CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-6314
Country	:	US
Telephone Number	:	281-744-1275
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911-A PINEDALE ROAD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408
Country	:	US
Telephone Number	:	281-744-1275
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	JONATHAN SCHMALZ
Credential	:	PHD
Telephone Number	:	281-744-1275

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

Similar Medicare Providers

1235779646 — MRS. TARA RENEE WILLIAMS NP-C
Practice Location Address:

3120 NORTHLINE AVE
GREENSBORO, NC
27408-7814

Practice Phone: 336-713-0818
Practice Fax:

1306485974 — DR. JONATHAN EDWIN SCHMALZ PHD
Practice Location Address:

2911-A PINEDALE RD
GREENSBORO, NC
27408

Practice Phone: 336-443-6762
Practice Fax:

1649535519 — DR. PRIYA PRIYAMBADA M.D
Practice Location Address:

3150 N ELM ST
GREENSBORO, NC
27408-3880

Practice Phone: 336-716-7811
Practice Fax: 336-716-9526

1033857271 — DR. DANJA WORDEN DPT
Practice Location Address:

319 W WENDOVER AVE
GREENSBORO, NC
27408-8401

Practice Phone: 336-274-5006
Practice Fax:

1952396202 — GREENSBORO PATHOLOGY, LLC
Practice Location Address:

706 GREEN VALLEY RD , SUITE 104
GREENSBORO, NC
27408-7038

Practice Phone: 336-271-4930
Practice Fax: 336-271-8466

1013551605 — PAIGE AUGUST DICK DPT
Practice Location Address:

1915 LENDEW ST
GREENSBORO, NC
27408-7033

Practice Phone: 336-235-4505
Practice Fax: 336-275-3320

Directions to “SHADE TREE COUNSELING, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.