1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Counselor
  6. NPI Profile

LATASHA SHAWNTAY MCILWAINE MA, MHA, LPC, LCAS
NPI 1063631331
Counselor - Professional in Charlotte, NC

Active since April 25, 2007PECOS Enrolled
1409 EAST BLVD, SUITE 6B, CHARLOTTE, NC 28203(704) 340-4666(704) 969-7298 Get Directions Write a Review

NPPES record last updated: March 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latasha Shawntay Mcilwaine Ma, Mha, Lpc, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATASHA SHAWNTAY MCILWAINE MA, MHA, LPC, LCAS (NPI 1063631331) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (6691) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063631331
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLATASHA SHAWNTAY MCILWAINECredential: MA, MHA, LPC, LCAS
Location Address1409 EAST BLVD, SUITE 6BCharlotte, NC 28203-5817
Mailing AddressPo Box 743Paw Creek, NC 28130-0743 · (704) 340-4666 · Fax (704) 969-7298
Phone(704) 340-4666
Fax(704) 969-7298
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2007
Last NPPES UpdateMarch 28, 2009
✔ NPI 1063631331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 6691
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1296 (NC)
1409 EAST BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Other Identifiers 1

Medicaid6103719NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latasha Shawntay Mcilwaine Ma, Mha, Lpc, Lcas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163868753
PECOS Enrollment IDI20260408000830
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASSURED CARE
Home Health
1409 EAST BLVD, SUITE 110
CHARLOTTE, NC 28203
Mecklenburg County (704) 334-4820
ALL CARE LINKS INC.
Community/Behavioral Health
1409 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 419-4049
BONITA HUTCHINSON AND ASSOCIATES, PLLC
Counselor (Mental Health)
1409 EAST BLVD, SUITE 206
CHARLOTTE, NC 28203
Mecklenburg County (980) 254-0046
ALL CARE PROVIDERS INC
In Home Supportive Care
1409 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 487-6700
JAMIE LYN VENZIAN LPC, LMHC
Counselor (Mental Health)
1409 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 492-1105
SHAPHAUN TAMARA BLACK CSAC
Counselor (Addiction (Substance Use Disorder))
1409 EAST BLVD, SUITE 201
CHARLOTTE, NC 28203
Mecklenburg County (980) 225-7899
ALL CARE LINKS
Day Training, Developmentally Disabled Services
1409 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 906-1225
CAROLINA CARE SOLUTIONS, LLC
In Home Supportive Care
1409 EAST BLVD, SUITE 102-A
CHARLOTTE, NC 28203
Mecklenburg County (704) 770-1862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latasha Mcilwaine's NPI number?

The NPI number for Latasha Mcilwaine is 1063631331. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Latasha Mcilwaine located?

Latasha Mcilwaine practices at 1409 East Blvd Suite 6B, Charlotte, NC 28203. The listed phone number is (704) 340-4666.

What is Latasha Mcilwaine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Latasha Mcilwaine enrolled in Medicare?

Yes. Latasha Mcilwaine is registered in the Medicare PECOS enrollment system.

What insurance does Latasha Mcilwaine accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and Harvard Pilgrim Health Care and 6 other insurers list Latasha Mcilwaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latasha Mcilwaine was last updated on March 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.