Shanata N Edwards, LCMHCA, LCAS-A

Overview

Entity Type: Individual Healthcare Provider
NPI: 1619654415
Primary Specialty: Counselor — Professional
Practice Location: Rocky Point, North Carolina
Sole Proprietor: Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data: September 10, 2026
Records indexed: 84,001
Screened: Sep 18, 2026, 9:33 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened: Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

Counselor
Professional
Behavioral Health & Social Service Providers
Primary
Definition to come...
Taxonomy code 101YP2500X
Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400X
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X

Provider-Reported License Information

Counselor (North Carolina): A19627
Counselor (North Carolina): LCAS-29061
Counselor (North Carolina): A19627

License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

7910 US Hwy 117 S

Rocky Point, North Carolina 28457-9431

Phone: (910) 259-0668

Additional Practice Location

416 West Ridge Street

Rose Hill, North Carolina 28458

Phone: (910) 289-2610

Additional Practice Location

615 Shipyard Blvd

Wilmington, North Carolina 28412-6431

Phone: (910) 343-0145

Fax: (910) 341-5779

Record Information

Enumeration Date: July 3, 2023
Provider's NPPES Record Last Updated: June 11, 2024
Certification Date: June 11, 2024
NPISignal NPPES Dataset: August 2026

Same specialty and location, currently active.

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue