Individual provider Active NPI

Shatara Leann Sheppard, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1508326869
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14696 Issued in NC
Practice address
325 E 9TH St Unit 17
Charlotte, NC 28202-2551
Phone
(980) 244-9090
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14696 NC Primary

Addresses

Primary practice location

325 E 9TH St Unit 17
Charlotte, NC 28202-2551

Mailing address

325 E 9TH St Unit 17
Charlotte, NC 28202-2551
Phone (980) 244-9090

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.evolve-integrativecounseling.com
CONNECT URL www.evolve-integrativecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Integrative Counseling, PLLC Mental Health CurrentSince Aug 25, 2025 Accepting new patients

Locations

325 E 9th St
Unit 17
Charlotte, NC 28202
Phone (980) 244-9090

9723 Northcross Center Ct
Huntersville, NC 28078
Phone (704) 948-5009

Organizations & group practices 1

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1508326869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 9TH ST UNIT 17",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022551",
            "telephone_number": "980-244-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 9TH ST UNIT 17",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022551",
            "telephone_number": "980-244-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "SHATARA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evolve-integrativecounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "325 E 9th St Unit 17",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282022551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evolve-integrativecounseling.com",
            "affiliation": "N",
            "address_1": "325 E 9th St Unit 17",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282022551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.