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MRS. SHANNA SANDERS
NPI 1063993491
Counselor - Professional in Charlotte, NC

Active since August 23, 2018Opted out of Medicare · through Apr 25, 2028
5624 EXECUTIVE CENTER DR STE 105, CHARLOTTE, NC 28212(704) 379-1960 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2019, Aug 28, 2018, Aug 23, 2018 (3 updates tracked since 2018).

About Mrs. Shanna Sanders NPPES

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

MRS. SHANNA SANDERS (NPI 1063993491) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A14015) and active in the NPI registry since August 2018. She has opted out of Medicare through April 25, 2028 and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1063993491
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNA SANDERS
Location Address5624 EXECUTIVE CENTER DR STE 105Charlotte, NC 28212-8868
Mailing Address9205 Bengali Cir Lot 208Charlotte, NC 28213-5230 · (704) 222-0703
Phone(704) 379-1960
Sole ProprietorNo
Enumeration DateAugust 23, 2018
Last NPPES UpdateNovember 4, 20193 updates tracked since enumeration
✔ NPI 1063993491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A14015
5624 EXECUTIVE CENTER DR STE 105, Charlotte, NC 28212
Open in Google Maps ↗

Secondary Practice Location 1

Location 15104 Reagan Dr Ste 5Charlotte, NC 28206 · Phone (704) 596-0505

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Shanna Sanders has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2024 through April 25, 2028.

Opt-Out Effective DateApril 25, 2024
Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

KEVIN NOON LPCA
Counselor (Mental Health)
5624 EXECUTIVE CENTER DR STE 105
CHARLOTTE, NC 28212
Mecklenburg County (980) 224-8060
MONIQUE PLEASANT LPC, LCAS-A, CRC
Counselor (Mental Health)
5624 EXECUTIVE CENTER DR STE 105
CHARLOTTE, NC 28212
Mecklenburg County (980) 224-8060
MS. ALEXANDRA PAIGE STONE MA
Counselor (Professional)
5624 EXECUTIVE CENTER DR STE 105
CHARLOTTE, NC 28212
Mecklenburg County (980) 224-8060
SUNRISE ADULT AND YOUTH SERVICES INC
Community/Behavioral Health
5624 EXECUTIVE CENTER DR STE 105
CHARLOTTE, NC 28212
Mecklenburg County (704) 967-9826

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 Shanna Sanders's NPI number?

The NPI number for Shanna Sanders is 1063993491. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Shanna Sanders located?

Shanna Sanders practices at 5624 Executive Center Dr Ste 105, Charlotte, NC 28212. The listed phone number is (704) 379-1960.

What is Shanna Sanders's specialty?

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

Is Shanna Sanders enrolled in Medicare?

No. Shanna Sanders has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shanna Sanders accept?

Health plans from Blue Cross and Blue Shield of NC list Shanna Sanders 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 Shanna Sanders was last updated on November 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.