Ms Shanata N Edwards, LCMHCA, LCAS-A is a medicare enrolled "Counselor - Professional" provider in Rocky Point, North Carolina. She graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
7910 Us Hwy 117 S, Rocky Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 259-0668.
Ms Shanata N Edwards is licensed to practice in North Carolina (license number A19627) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619654415.
Healthcare Provider's Profile
| Full Name | Ms Shanata N Edwards |
|---|
| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 2 Years |
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| Location | 7910 Us Hwy 117 S, Rocky Point, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Shanata N Edwards graduated from medical school in 2023
NPI Data:
- NPI Number: 1619654415
- Provider Enumeration Date: 07/03/2023
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062929201
- Enrollment ID: I20250730003990
Medical Identifiers
Medical identifiers for Ms Shanata N Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619654415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-29061 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | A19627 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | A19627 (North Carolina) | Primary |
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. Ms Shanata N Edwards 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 |
Ms Shanata N Edwards, LCMHCA, LCAS-A 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Ms Shanata N Edwards, LCMHCA, LCAS-A 7910 Us Hwy 117 S, Rocky Point, NC 28457-9431 Ph: (910) 259-0668 |
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