KEVIN SHADE NPI 1366370256

NPI Information

  • NPI: 1366370256
  • Provider Name: KEVIN SHADE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 152 SCHENCK FARM RD
    LAWNDALE, NC
    ZIP 28090
  • Phone: (704) 835-5782

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NPI Details

Kevin Shade is a mental health counselor in Lawndale, NC. Kevin Shade NPI is 1366370256. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

152 SCHENCK FARM RD
LAWNDALE, NC
ZIP 28090-479
Phone: (704) 835-5782

The enumeration date for this NPI number is 5/11/2026 and was last updated on 5/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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