Shannon Kersey, Lpa
NPI 1164708228 · Clinical Child & Adolescent Psychologist · Charlotte, NC
Shannon Kersey, Lpa is a Clinical Child & Adolescent Psychologist organization in Charlotte, NC (NPI 1164708228).
Provider details
- NPI number
- 1164708228
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Kersey, Sole Proprietor(704) 323-6586
- License
- 2531 (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
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2011-11-02
- Last updated
- 2011-11-02
Frequently asked questions
- What is Shannon Kersey, Lpa's NPI number?
- Shannon Kersey, Lpa's National Provider Identifier (NPI) is 1164708228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Kersey, Lpa?
- Shannon Kersey, Lpa is classified in the NPPES registry as Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Shannon Kersey, Lpa located?
- Shannon Kersey, Lpa's practice location on file with NPPES is 4425 Randolph Rd, Charlotte, NC 28211-2351.
- What is Shannon Kersey, Lpa's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kersey, Lpa is (704) 323-6586.
- Who is the authorized official for Shannon Kersey, Lpa?
- The authorized official listed on Shannon Kersey, Lpa's NPPES record is Shannon Kersey, Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Kersey, Lpa's NPI active?
- Yes — Shannon Kersey, Lpa's NPI (1164708228) is active in the NPPES registry as of the last update on 2011-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.