Willie Shine, CSAC
NPI 1407253123 · Addiction (Substance Use Disorder) Counselor · Charlotte, NC
Willie Shine, CSAC is a Addiction (Substance Use Disorder) Counselor provider in Charlotte, NC (NPI 1407253123).
Provider details
- NPI number
- 1407253123
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- CSAC-20389 (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
11 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
- 2014-11-24
- Last updated
- 2014-11-24
Frequently asked questions
- What is Willie Shine's NPI number?
- Willie Shine's National Provider Identifier (NPI) is 1407253123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Shine's specialty?
- Willie Shine is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Willie Shine located?
- Willie Shine's practice location on file with NPPES is 7925 North Tryon St, Charlotte, NC 28262.
- What is Willie Shine's phone number?
- The practice phone number listed in the NPPES registry for Willie Shine is (704) 612-0566.
- Is Willie Shine's NPI active?
- Yes — Willie Shine's NPI (1407253123) is active in the NPPES registry as of the last update on 2014-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.