Mrs Charlotte Shah, LCMHC, LCAS, CSI in Wilmington, NC - Medicare Mental Health Counselor Provider

Mrs Charlotte Shah, LCMHC, LCAS, CSI is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Wilmington, North Carolina. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Family Ties Of Brunswick, Llc and her current practice location is 1302 Bexley Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 508-7925.

Mrs Charlotte Shah is licensed to practice in North Carolina (license number LCAS-24188) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629706148.

Contact Information

	Mrs Charlotte Shah, LCMHC, LCAS, CSI
	1302 Bexley Dr, Wilmington, NC 28412-2091
	(910) 508-7925
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Charlotte Shah
Gender	Female
Speciality	Mental Health Counselor
Experience	5 Years
Location	1302 Bexley Dr, Wilmington, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Charlotte Shah graduated from medical school in 2021

NPI Data:

NPI Number: 1629706148
Provider Enumeration Date: 08/11/2022
Last Update Date: 04/20/2026

Medicare PECOS Information:

PECOS PAC ID: 5092258178
Enrollment ID: I20240617003825

Medical Identifiers

Medical identifiers for Mrs Charlotte Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629706148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	17936 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCAS-24188 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Ties Of Brunswick, Llc	7911309430	8

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. Mrs Charlotte Shah allows following entities to bill medicare on her behalf.

Entity Name	Ase Ltc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962182881 PECOS PAC ID: 8224571385 Enrollment ID: O20240617003232

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. Mrs Charlotte Shah 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
Mrs Charlotte Shah, LCMHC, LCAS, CSI 1302 Bexley Dr, Wilmington, NC 28412-2091 Ph: (910) 508-7925	Mrs Charlotte Shah, LCMHC, LCAS, CSI 1302 Bexley Dr, Wilmington, NC 28412-2091 Ph: (910) 508-7925

Reviews and Comments

Counselor in Wilmington, NC

Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214
Emily Kohls, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Military Cutoff Rd Ste 108b, Wilmington, NC 28405 Phone: 910-218-1603 Fax: 910-889-0736

Mrs Charlotte Shah, LCMHC, LCAS, CSI - Medicare Counselor in Wilmington, NC