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SHANNEL EZEDI LPCI
NPI 1235655101
Counselor - Mental Health in Beaufort, SC

Active since August 22, 2017Opted out of Medicare · through Feb 14, 2028
1050 RIBAUT RD, BEAUFORT, SC 29902(857) 540-2095 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Sep 11, 2017, Aug 22, 2017 (3 updates tracked since 2017).

About Shannel Ezedi Lpci NPPES

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

SHANNEL EZEDI LPCI (NPI 1235655101) is an individual mental health provider in Beaufort, South Carolina and active in the NPI registry since August 2017. She has opted out of Medicare through February 14, 2028.

NPPES Registry Identity

NPI1235655101
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNEL EZEDICredential: LPCI
Location Address1050 RIBAUT RDBeaufort, SC 29902-5400
Mailing Address1050 Ribaut RdBeaufort, SC 29902-3679 · (843) 473-6355
Phone(857) 540-2095
Sole ProprietorYes
Enumeration DateAugust 22, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1235655101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1050 RIBAUT RD, Beaufort, SC 29902
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Other Names 1

Former Name (1)Ms. Shannel Ezedi Ed.s., Lpci

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannel Ezedi Lpci 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 February 14, 2026 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2026
Opt-Out In Effect ThroughFebruary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

CHARLES J. REAMY MD
Psychiatry & Neurology (Psychiatry)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
DR. GARY WINSTON NOBLE M.D.
Psychiatry & Neurology (Psychiatry)
1050 RIBAUT RD, COASTAL EMPIRE MENTAL HEALTH
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
MISS ANGELA DINGLE
Counselor (Mental Health)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-2610
SHENIKA CHISOLM
Counselor (Mental Health)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-8899
MARGARET PAVONI LISW-CP
Social Worker
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
MRS. ELLEN E CHESNUT RN LMFT INDIANA
Marriage & Family Therapist
1050 RIBAUT RD, COASTAL EMPIRE COMMUNITY MENTAL HEALTH CENTER
BEAUFORT, SC 29902
Beaufort County (843) 524-8899
JOYCE ROMEO RN
Registered Nurse (Psychiatric/Mental Health)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
AMY HARRY
Registered Nurse
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-8899

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 Shannel Ezedi's NPI number?

The NPI number for Shannel Ezedi is 1235655101. It was assigned to this individual provider in the NPPES registry on August 22, 2017. The provider is also known as Ms. Shannel Ezedi Ed.S., Lpci.

Where is Shannel Ezedi located?

Shannel Ezedi practices at 1050 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (857) 540-2095.

What is Shannel Ezedi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannel Ezedi enrolled in Medicare?

No. Shannel Ezedi has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannel Ezedi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.