SHABRIA LATAE MAYNE MS, LPC, LCASA, NCC
NPI 1467908939
Counselor - Professional in Charlotte, NC

Q: What is Shabria Mayne's NPI number?

The NPI number for Shabria Mayne is 1467908939. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Q: What is Shabria Mayne'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 Shabria Mayne was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2016PECOS Enrolled

5200 PARK RD STE 218B, CHARLOTTE, NC 28209(866) 700-1606(866) 338-5921 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Aug 12, 2019, Jun 11, 2019 and 3 more (6 updates tracked since 2016).

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About Shabria Latae Mayne Ms, Lpc, Lcasa, Ncc NPPES

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

SHABRIA LATAE MAYNE MS, LPC, LCASA, NCC (NPI 1467908939) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (12424) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raeford.

NPPES Registry Identity

NPI1467908939

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHABRIA LATAE MAYNECredential: MS, LPC, LCASA, NCC

Location Address5200 PARK RD STE 218BCharlotte, NC 28209-3650

Mailing Address5200 Park Rd Ste 218bCharlotte, NC 28209-3650 · (866) 700-1606

Phone(866) 700-1606

Fax(866) 338-5921

Sole ProprietorYes

Enumeration DateAugust 25, 2016

Last NPPES UpdateSeptember 23, 20216 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2021

✔ NPI 1467908939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 12424

5200 PARK RD STE 218B, Charlotte, NC 28209

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Secondary Practice Location 1

Location 1402 Harris AveRaeford, NC 28376-3112 · Phone (910) 848-1638

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan, 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)

Shabria Latae Mayne Ms, Lpc, Lcasa, Ncc 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.

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.

MS. TAMATHA S. FORTUNE LPCA, NCC, CCMC

Counselor (Professional)