Individual provider Active NPI

Shauna Ferrese, PHD, LPC-S, LAC, NCC

  • Professional Counselor
  • Charleston, SC
National Provider Identifier
1124579834
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9099 Issued in SC
Practice address
1620 Ashley River Rd
Charleston, SC 29407-5902
Phone
(843) 556-8177
Fax
(843) 571-2742
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 194 SC
Professional Counselor 101YP2500X 9099 SC Primary

Addresses

Primary practice location

1620 Ashley River Rd
Charleston, SC 29407-5902

Mailing address

1620 Ashley River Rd
Charleston, SC 29407-5902
Phone (843) 556-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000341 SC Practitioner - Mental Health Counselor 2769908334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrier Islands Psychiatry PAGroup PAC ID 0840388930, 5 clinicians

Practice addresses (Care Compare)

1620 Ashley River Rd
Charleston, SC 29407-5902
Phone (843) 556-8177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
194SCMDAddiction (Substance Use Disorder) Counselor
9099SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barrier Islands Psychiatry P a CurrentSince Mar 25, 2025 Accepting new patients
Charleston Family Center, LLC PastSince Apr 21, 2024 Accepting new patients

Locations

1620 Ashley River Rd
Charleston, SC 29407
Phone (843) 556-8177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1124579834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075902",
            "telephone_number": "843-556-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075902",
            "telephone_number": "843-556-8177",
            "fax_number": "843-571-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRESE",
        "first_name": "SHAUNA",
        "credential": "PHD, LPC-S, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "194",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.