Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Fred Thomas Paul Shah, LCMHC, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073857124

Mr. Fred Thomas Paul Shah, LCMHC, LCASA is an Addiction (Substance Use Disorder) Counselor in Wilmington, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

610-A S College Rd
Wilmington, NC 28403-6431
Phone: (910) 796-2490
Fax: (910) 202-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 309 Progress Dr, Burgaw, NC 28425-3280 — (910) 259-0668
  • 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 — (910) 754-4515

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9687 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 21403 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 9687 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 21403 (NC)

Record details

NPI number1073857124
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC , LCASA
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Other providers in Wilmington