MS. SHANATA N EDWARDS LCMHCA, LCAS-A
NPI 1619654415
Counselor - Professional in Rocky Point, NC

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment
7910 US HWY 117 S, ROCKY POINT, NC 28457(910) 259-0668 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2024, Jul 3, 2023 (2 updates tracked since 2023).

About Ms. Shanata N Edwards Lcmhca, Lcas-a NPPES

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

MS. SHANATA N EDWARDS LCMHCA, LCAS-A (NPI 1619654415) is an individual professional provider in Rocky Point, North Carolina, licensed in North Carolina (A19627) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619654415
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SHANATA N EDWARDSCredential: LCMHCA, LCAS-A
Location Address7910 US HWY 117 SRocky Point, NC 28457-9431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 341-5779
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 3, 2023
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1619654415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A19627
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-29061 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A19627 (NC)
7910 US HWY 117 S, Rocky Point, NC 28457

Secondary Practice Locations 2

Location 1416 West Ridge StreetRose Hill, NC 28458 · Phone (910) 289-2610
Location 2615 Shipyard BlvdWilmington, NC 28412-6431 · Phone (910) 343-0145 · Fax (910) 341-5779

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shanata N Edwards Lcmhca, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062929201
PECOS Enrollment IDI20250730003990
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.

Medicare Billing Reassignment

Medicare enrollment records show Shanata Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
7910 US HWY 117 S
Rocky Point, NC 28457
  • Reassigned Medicare billing, North Carolina enrollment
  • 70 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 9

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

Community/Behavioral Health
7910 US HWY 117 S
ROCKY POINT, NC 28457
Family Medicine
7910 US HWY 117 S, UNIT 120
ROCKY POINT, NC 28457
Counselor (Professional)
7910 US HWY 117 S
ROCKY POINT, NC 28457
Social Worker (Clinical)
7910 US HWY 117 S
ROCKY POINT, NC 28457
Counselor (Professional)
7910 US HWY 117 S
ROCKY POINT, NC 28457
Physician Assistant
7910 US HWY 117 S, UNIT 120
ROCKY POINT, NC 28457
Family Medicine
7910 US HWY 117 S
ROCKY POINT, NC 28457
Social Worker (Clinical)
7910 US HWY 117 S
ROCKY POINT, NC 28457

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 Shanata Edwards's NPI number?

The NPI number for Shanata Edwards is 1619654415. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Shanata Edwards located?

Shanata Edwards practices at 7910 Us Hwy 117 S, Rocky Point, NC 28457. The listed phone number is (910) 259-0668.

What is Shanata Edwards's specialty?

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

Is Shanata Edwards enrolled in Medicare?

Yes. Shanata Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shanata Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanata Edwards reassigns Medicare benefits to Coastal Horizons Center Inc (Rocky Point, NC). 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 Shanata Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanata Edwards accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shanata Edwards 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 Shanata Edwards was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.