Shasta Staten, MED, LPC
NPI 1124363718 · Professional Counselor · Charlotte, NC
Shasta Staten, MED, LPC is a Professional Counselor provider in Charlotte, NC (NPI 1124363718).
Provider details
- NPI number
- 1124363718
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MED, LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 9182 (NC)
Specialties & taxonomies
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
2 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 (1)
- 12664 Persimmon Tree DrCharlotte, NC 28273-8024Phone: (704) 621-1095
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Frequently asked questions
- What is Shasta Staten's NPI number?
- Shasta Staten's National Provider Identifier (NPI) is 1124363718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shasta Staten's specialty?
- Shasta Staten is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Shasta Staten located?
- Shasta Staten's practice location on file with NPPES is 5200 Park Rd Ste 218b, Charlotte, NC 28209-3650.
- What is Shasta Staten's phone number?
- The practice phone number listed in the NPPES registry for Shasta Staten is (866) 700-1606.
- Is Shasta Staten's NPI active?
- Yes — Shasta Staten's NPI (1124363718) is active in the NPPES registry as of the last update on 2021-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.