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SHASTA MINTON LCMHCA
NPI 1275142606
Counselor - Professional in Mooresville, NC

Active since July 31, 2020PECOS Enrolled
311 WILLIAMSON RD STE 103, MOORESVILLE, NC 28117(704) 360-3049 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shasta Minton Lcmhca NPPES

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

SHASTA MINTON LCMHCA (NPI 1275142606) is an individual professional provider in Mooresville, North Carolina and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275142606
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHASTA MINTONCredential: LCMHCA
Location Address311 WILLIAMSON RD STE 103Mooresville, NC 28117-5967
Mailing Address106 Shelburne PlMooresville, NC 28117-7306
Phone(704) 360-3049
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1275142606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
311 WILLIAMSON RD STE 103, Mooresville, NC 28117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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)

Shasta Minton Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789192550
PECOS Enrollment IDI20250804000163
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 20

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

JESSICA ROSE WING MA, LCMHCA, NCC
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
TETIANA MALKOVA
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
KENDALL CLAY
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
ALISA KAYE GIBSON RICHARD LCMHCA
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
DELIA VICIDOMINI LCMHCA
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
AMY MARIE RIECKEN MSW LCSW-A
Social Worker (Clinical)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
CHARLOTTE COPPER LCMHC-A
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049
CAROLINE PIERLE
Counselor (Professional)
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117
Iredell County (704) 360-3049

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 Shasta Minton's NPI number?

The NPI number for Shasta Minton is 1275142606. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Shasta Minton located?

Shasta Minton practices at 311 Williamson Rd Ste 103, Mooresville, NC 28117. The listed phone number is (704) 360-3049.

What is Shasta Minton's specialty?

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

Is Shasta Minton enrolled in Medicare?

Yes. Shasta Minton is registered in the Medicare PECOS enrollment system.

What insurance does Shasta Minton accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shasta Minton 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 Shasta Minton was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.