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

Mrs. Charlotte Shah, LCMHC, LCAS, CSI

Individual provider Mental Health Counselor · NPI 1629706148

Mrs. Charlotte Shah, LCMHC, LCAS, CSI is a Mental Health Counselor in Wilmington, North Carolina. Qualified in 2021, 5 years ago. Practices with Family Ties of Brunswick, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1302 Bexley Dr
Wilmington, NC 28412-2091
Phone: (910) 508-7925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-24188 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 17936 (NC)

Record details

NPI number1629706148
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS , CSI
Sole proprietorYes
NPI enumeratedAugust 11, 2022
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Family Ties Of Brunswick, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington