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KEVIN SHADE
NPI 1366370256
Counselor - Mental Health in Lawndale, NC

Active since May 11, 2026
152 SCHENCK FARM RD, LAWNDALE, NC 28090(704) 835-5782 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Shade NPPES

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

KEVIN SHADE (NPI 1366370256) is an individual mental health provider in Lawndale, North Carolina and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1366370256
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN SHADE
Location Address152 SCHENCK FARM RDLawndale, NC 28090-9479
Mailing Address152 Schenck Farm RdLawndale, NC 28090-9479 · (704) 835-5782
Phone(704) 835-5782
Sole ProprietorYes
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1366370256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
152 SCHENCK FARM RD, Lawndale, NC 28090
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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

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 Kevin Shade's NPI number?

The NPI number for Kevin Shade is 1366370256. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Kevin Shade located?

Kevin Shade practices at 152 Schenck Farm Rd, Lawndale, NC 28090. The listed phone number is (704) 835-5782.

What is Kevin Shade's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Shade was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.