Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shadale Nicole Jacobs, MS, LCMHCA

Individual provider Mental Health Counselor · NPI 1598961542

Shadale Nicole Jacobs, MS, LCMHCA is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

13422 Morgan Lee Ave
Charlotte, NC 28213-4316
Phone: (704) 641-6530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A8910 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1598961542
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCMHCA
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

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