SHINE COUNSELING, PLLC
NPI 1871066019
Community/Behavioral Health in Charlotte, NC

Active since January 10, 2019
1931 J N PEASE PL STE 104, CHARLOTTE, NC 28262(704) 734-9480(844) 786-5796 Get Directions Write a Review

NPPES record last updated: August 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2023, Jan 10, 2019 (2 updates tracked since 2019).

About Shine Counseling, Pllc NPPES

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

SHINE COUNSELING, PLLC (NPI 1871066019) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since January 2019. The organization lists Kimberly Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1871066019
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHINE COUNSELING, PLLC
Location Address1931 J N PEASE PL STE 104Charlotte, NC 28262-4540
Mailing Address1931 J N Pease Pl Ste 104Charlotte, NC 28262-4540 · (704) 548-1328 · Fax (844) 786-5896
Fax(844) 786-5796
Organization SubpartNo
Authorized OfficialKimberly ParkerOwner · (704) 548-1328
Enumeration DateJanuary 10, 2019
Last NPPES UpdateAugust 20, 20232 updates tracked since enumeration
NPPES CertifiedAugust 20, 2023
✔ NPI 1871066019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1931 J N PEASE PL STE 104, Charlotte, NC 28262

Other Identifiers 1

Medicaid1041C0700XNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Counseling, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shine Counseling, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1689169641
1923 J N PEASE PL STE 101
Charlotte, NC 28262
(704) 609-1128
✔ PECOSSame address
Clinical Social Worker
NPI 1922502061
1931 J N PEASE PL STE 104
Charlotte, NC 28262
(704) 548-1328
✔ PECOSSame address
Mental Health Counselor
NPI 1811451529
5700 EXECUTIVE CENTER DR STE 100
Charlotte, NC 28212
(704) 408-8489
✔ PECOS5.1 mi
Clinical Social Worker
NPI 1871195289
8005 KNEBFORD CIR
Wake Forest, NC 27587
(919) 671-6369
✔ PECOS139 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shine Counseling, PLLC's NPI number?

The NPI number for Shine Counseling, PLLC is 1871066019. It was assigned to this organization in the NPPES registry on January 10, 2019.

Where is Shine Counseling, PLLC located?

Shine Counseling, PLLC is located at 1931 J N Pease Pl Ste 104, Charlotte, NC 28262. The listed phone number is (704) 734-9480.

What is Shine Counseling, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Shine Counseling, PLLC enrolled in Medicare?

Yes. Shine Counseling, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Counseling, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Shine Counseling, PLLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (3) and Mental Health Counselor (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shine Counseling, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Shine Counseling, PLLC 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 Shine Counseling, PLLC was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.