LAKEISHA SHAMONE MCKNABB LCMHCS, LCAS, CCS
NPI 1225349681
Counselor - Professional in Gastonia, NC
About Lakeisha Shamone Mcknabb Lcmhcs, Lcas, Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEISHA SHAMONE MCKNABB LCMHCS, LCAS, CCS (NPI 1225349681) is an individual professional provider in Gastonia, North Carolina, licensed in North Carolina (9712) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeisha Shamone Mcknabb Lcmhcs, Lcas, Ccs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lakeisha Mcknabb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Brightside Medical Of New Jersey PC
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GASTONIA, NC 28054
GASTONIA, NC 28054
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 Lakeisha Mcknabb's NPI number?
The NPI number for Lakeisha Mcknabb is 1225349681. It was assigned to this individual provider in the NPPES registry on June 30, 2010.
Where is Lakeisha Mcknabb located?
Lakeisha Mcknabb practices at 436 E Long Ave Ste 1, Gastonia, NC 28054. The listed phone number is (704) 594-1454.
What is Lakeisha Mcknabb's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lakeisha Mcknabb enrolled in Medicare?
Yes. Lakeisha Mcknabb is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lakeisha Mcknabb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lakeisha Mcknabb reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lakeisha Mcknabb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lakeisha Mcknabb accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and UnitedHealthcare list Lakeisha Mcknabb 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 Lakeisha Mcknabb was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lakeisha Shamone Mcknabb, LCMHCS, LCAS, CCS · NPI 1225349681
Professional provider in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since June 30, 2010.
## Identity
- **NPI:** 1225349681 (Entity type: Individual)
- **Enumerated:** June 30, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 9712 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 436 E LONG AVE STE 1, Gastonia, NC 28054-2543
- **Phone:** (704) 594-1454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical Of New Jersey, P.C. (NPI 1811524754, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225349681) · Data from the CMS NPPES public registry.