Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shasta Gabrielle Staten, MED, LPC

Individual provider Professional Counselor · NPI 1124363718

Shasta Gabrielle Staten, MED, LPC is a Professional Counselor in Charlotte, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Phone: (866) 700-1606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12664 Persimmon Tree Dr, Charlotte, NC 28273-8024 — (704) 621-1095

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9182 (NC)

Record details

NPI number1124363718
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPC
Sole proprietorNo
NPI enumeratedDecember 7, 2012
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

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