Lakeisha Shamone McKnabb, LCMHCS, LCAS, CCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9712 Issued in NC

Practice address

436 E Long Ave Ste 1
Gastonia, NC 28054-2543

Phone

(704) 594-1454

NPI assigned

Jun 30, 2010

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Brightside Medical of New Jersey, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1811524754

  NC, Single Specialty

  Medicare reassignment NPD
• McKnabb Counseling Solutions PLLC

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1952012460
  NPD Authorized official

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1225349681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542543",
            "telephone_number": "704-594-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542543",
            "telephone_number": "704-594-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 W Franklin Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524145",
            "country_code": "US",
            "telephone_number": "704-865-3529 x133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2389 Riding Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545924",
            "country_code": "US",
            "telephone_number": "210-573-6774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKNABB",
        "first_name": "LAKEISHA",
        "middle_name": "SHAMONE",
        "credential": "LCMHCS, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22657",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9712",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. McKenney, FNP-C
• Kilai McKinley
• Susan Marie McKinley, DDS
• Bryanna McKinnon, PMHNP-BC
• McKnabb Counseling Solutions PLLC
• Sarah Emily McLamb, LCSW-A
• Katherine McLaurin, PHARMD, BCEMP, CPP
• Kimberly McLean, LPC-A
• Nina McLean
• McLeod Centers for Wellbeing

• Professional Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.