BELISA FASHA KERSHAW LCMHC
NPI 1669933917
Counselor - Mental Health in Fayetteville, NC

Active since March 28, 2019PECOS Enrolled
901 ARSENAL AVE STE 202, FAYETTEVILLE, NC 28305(910) 323-3368(910) 486-7000 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 2, 2022, Apr 28, 2022 (2 updates tracked since 2022).

About Belisa Fasha Kershaw Lcmhc NPPES

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

BELISA FASHA KERSHAW LCMHC (NPI 1669933917) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (14726) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669933917
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBELISA FASHA KERSHAWCredential: LCMHC
Location Address901 ARSENAL AVE STE 202Fayetteville, NC 28305-5478
Mailing Address901 Arsenal Ave Ste 202Fayetteville, NC 28305-5478 · (910) 323-3368 · Fax (910) 486-7000
Fax(910) 486-7000
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1669933917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 14726
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 14726 (NC)
901 ARSENAL AVE STE 202, Fayetteville, NC 28305

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Belisa Fasha Kershaw Lcmhc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Belisa Kershaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
901 ARSENAL AVE STE 201
Fayetteville, NC 28305
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
90 GUARDIAN CT
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 45 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 13

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

Counselor (Professional)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Community/Behavioral Health
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
901 ARSENAL AVE STE 202
FAYETTEVILLE, NC 28305

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 Belisa Kershaw's NPI number?

The NPI number for Belisa Kershaw is 1669933917. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Belisa Kershaw located?

Belisa Kershaw practices at 901 Arsenal Ave Ste 202, Fayetteville, NC 28305. The listed phone number is (910) 323-3368.

What is Belisa Kershaw's specialty?

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

Is Belisa Kershaw enrolled in Medicare?

Yes. Belisa Kershaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Belisa Kershaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Belisa Kershaw reassigns Medicare benefits to 2 organizations: Biblical Counseling Services (Fayetteville, NC) and Opportunities Industrialization Center, Inc. (Rocky Mount, NC). Each 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 Belisa Kershaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Belisa Kershaw accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Belisa Kershaw 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 Belisa Kershaw was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.