Charlotte Shah, LCMHC, LCAS, CSI
NPI 1629706148ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Wilmington, NC
Counselor, Addiction (Substance Use Disorder) (LCMHC, LCAS, CSI) with Family Ties of Brunswick, LLC, practicing in Wilmington, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1629706148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCMHC, LCAS, CSI |
| Sole proprietor | Yes |
| NPI issued | Aug 11, 2022 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | LCAS-24188 | NC |
| Counselor, Mental Health | 101YM0800X | 17936 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Family Ties of Brunswick, LLCWilmington, NC · 8 clinicians
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