Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS in Gastonia, NC

Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS is a medicare enrolled "Counselor - Professional" provider in Gastonia, North Carolina. Her current practice location is 436 E Long Ave Ste 1, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 594-1454.

Lakeisha Shamone Mcknabb is licensed to practice in North Carolina (license number 9712) 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 1225349681.

Contact Information

	Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS
	436 E Long Ave Ste 1, Gastonia, NC 28054-2543
	(704) 594-1454
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lakeisha Shamone Mcknabb
Gender	Female
Speciality	Counselor - Professional
Location	436 E Long Ave Ste 1, Gastonia, 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: 1225349681
Provider Enumeration Date: 06/30/2010
Last Update Date: 04/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9638696933
Enrollment ID: I20250509001703

Medical Identifiers

Medical identifiers for Lakeisha Shamone Mcknabb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225349681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	22657 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	9712 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	9712 (North Carolina)	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. Lakeisha Shamone Mcknabb allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811524754 PECOS PAC ID: 5799141750 Enrollment ID: O20230517000302

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. Lakeisha Shamone Mcknabb 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
Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS 436 E Long Ave Ste 1, Gastonia, NC 28054-2543 Ph: (704) 594-1454	Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS 436 E Long Ave Ste 1, Gastonia, NC 28054-2543 Ph: (704) 594-1454

Reviews and Comments

Counselor in Gastonia, NC

Brittney Cornette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 S York St, Gastonia, NC 28052 Phone: 704-865-8722
Carym Arbulu Casas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925 Audrey Dr, Gastonia, NC 28054 Phone: 980-484-2111
Mr. Robert Summey Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1552 Union Rd, Suite E, Gastonia, NC 28054 Phone: 704-833-0154 Fax: 704-833-7076
Stephanie Jackson Grier, MA, LCAS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1566 Union Rd Ste B, Gastonia, NC 28054 Phone: 704-968-0935
Jessica Gabrielle Montez, MA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 S York St, Gastonia, NC 28052 Phone: 704-864-6573 Fax: 704-864-9791
Carolyn Linder, Counselor Medicare: Medicare Enrolled Practice Location: 549 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1558
Jessie Dawson, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 W 6th Ave, Gastonia, NC 28052 Phone: 757-339-1149

Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS - Medicare Counselor in Gastonia, NC