DR. SHAMANDA SHANTA BURSTON LCMHC, LCAS
NPI 1902296445
Counselor - Mental Health in Charlotte, NC

Active since February 04, 2015PECOS Enrolled
1235 EAST BLVD, CHARLOTTE, NC 28203(980) 440-3513 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Jul 8, 2022, Aug 29, 2016 (3 updates tracked since 2016).

About Dr. Shamanda Shanta Burston Lcmhc, Lcas NPPES

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

DR. SHAMANDA SHANTA BURSTON LCMHC, LCAS (NPI 1902296445) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (18257) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902296445
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SHAMANDA SHANTA BURSTONCredential: LCMHC, LCAS
Location Address1235 EAST BLVDCharlotte, NC 28203-5870
Mailing Address1235 East BlvdCharlotte, NC 28203-5870
Sole ProprietorYes
Enumeration DateFebruary 4, 2015
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1902296445 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 · 18257
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-21626 (NC)
1235 EAST BLVD, Charlotte, NC 28203

Other Identifiers 2

Other18257NC · Lcmhc
OtherLCAS-21626NC · North Carolina Substance Abuse Professional Board

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)

Dr. Shamanda Shanta Burston Lcmhc, Lcas 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

3

Medicare enrollment records show Shamanda Burston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
Pediatric Surgery
1025 MOREHEAD MEDICAL DR, STE 275
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 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 11

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

Nurse Practitioner (Psychiatric/Mental Health)
1235 EAST BLVD
CHARLOTTE, NC 28203
Counselor (Mental Health)
1235 EAST BLVD, STE E #176
CHARLOTTE, NC 28203
Specialist
1235 EAST BLVD, SUITE K
CHARLOTTE, NC 28203
Community/Behavioral Health
1235 EAST BLVD, SUITE E
CHARLOTTE, NC 28203
Lactation Consultant, Non-RN
1235 EAST BLVD
CHARLOTTE, NC 28203
Social Worker (Clinical)
1235 EAST BLVD
CHARLOTTE, NC 28203
In Home Supportive Care
1235 EAST BLVD, STE. E #1844
CHARLOTTE, NC 28203
Community/Behavioral Health
1235 EAST BLVD, STE. E. #1209
CHARLOTTE, NC 28203

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 Shamanda Burston's NPI number?

The NPI number for Shamanda Burston is 1902296445. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Where is Shamanda Burston located?

Shamanda Burston practices at 1235 East Blvd, Charlotte, NC 28203. The listed phone number is (980) 440-3513.

What is Shamanda Burston's specialty?

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

Is Shamanda Burston enrolled in Medicare?

Yes. Shamanda Burston is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shamanda Burston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamanda Burston reassigns Medicare benefits to 3 organizations: Carolinas Medical Center (Charlotte, NC), Carolinas Physicians Network Inc (Charlotte, NC) and Grow Healthcare Group PA (Miami, FL). 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 Shamanda Burston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shamanda Burston accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Shamanda Burston 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 Shamanda Burston was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.