Fred Shah, LCMHC, LCASA
NPI 1073857124 · Professional Counselor · Wilmington, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred Shah, LCMHC, LCASA is a Professional Counselor provider in Wilmington, NC (NPI 1073857124).
Provider details
- NPI number
- 1073857124
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC, LCASA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21403 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 309 Progress DrBurgaw, NC 28425-3280Phone: (910) 259-0668Fax: (910) 202-9966
- 120 Coastal Horizons DrShallotte, NC 28470-6094Phone: (910) 754-4515Fax: (910) 202-9966
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Frequently asked questions
- What is Fred Shah's NPI number?
- Fred Shah's National Provider Identifier (NPI) is 1073857124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Shah's specialty?
- Fred Shah is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Fred Shah located?
- Fred Shah's practice location on file with NPPES is 610-A S. College Road, Wilmington, NC 28403-6431.
- What is Fred Shah's phone number?
- The practice phone number listed in the NPPES registry for Fred Shah is (910) 796-2490.
- Does Fred Shah accept Medicare?
- Fred Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fred Shah's NPI active?
- Yes — Fred Shah's NPI (1073857124) is active in the NPPES registry as of the last update on 2022-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.