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

Q: 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.

Q: What is Belisa Kershaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Belisa Kershaw was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment

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: July 26, 2026.

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

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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 and is a graduate of Other (2019).

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

Phone(910) 323-3368

Fax(910) 486-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Belisa Fasha Kershaw Lcmhc 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 ID1355787805

PECOS Enrollment IDI20240307000788

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 13

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

SASHA SHARMAINE HAMILTON

Social Worker (Clinical)