MR. FRED THOMAS PAUL SHAH LCMHC, LCASA
NPI 1073857124
Counselor - Professional in Wilmington, NC

Q: What is Fred Shah's NPI number?

The NPI number for Fred Shah is 1073857124. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Fred Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fred Shah was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 15, 2012PECOS Enrolled

610-A S. COLLEGE ROAD, WILMINGTON, NC 28403(910) 796-2490(910) 202-9966 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, May 6, 2020, Apr 8, 2020 and 1 more (4 updates tracked since 2020).

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About Mr. Fred Thomas Paul Shah Lcmhc, Lcasa NPPES

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

MR. FRED THOMAS PAUL SHAH LCMHC, LCASA (NPI 1073857124) is an individual professional provider in Wilmington, North Carolina, licensed in North Carolina (9687) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073857124

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. FRED THOMAS PAUL SHAHCredential: LCMHC, LCASA

Location Address610-A S. COLLEGE ROADWilmington, NC 28403-6431

Mailing Address610-a S. College RoadWilmington, NC 28403 · (910) 796-2490 · Fax (910) 202-9966

Phone(910) 796-2490

Fax(910) 202-9966

Sole ProprietorYes

Enumeration DateNovember 15, 2012

Last NPPES UpdateSeptember 6, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1073857124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NC · 9687✔ Licensed in NC · 21403

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 21403 (NC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 9687 (NC)

610-A S. COLLEGE ROAD, Wilmington, NC 28403

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Mr. Fred Thomas Paul Shah Lcmhc, Lcasa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Fred Shah's NPI number?

The NPI number for Fred Shah is 1073857124. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Fred Shah located?

Fred Shah practices at 610-A S. College Road, Wilmington, NC 28403. The listed phone number is (910) 796-2490.

What is Fred Shah's specialty?

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

Is Fred Shah enrolled in Medicare?

Yes. Fred Shah is registered in the Medicare PECOS enrollment system.

What insurance does Fred Shah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Fred Shah 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 Fred Shah was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.