Active NPI
Shanya E Carter, LPC
- Professional Counselor
- Summerville, SC
National Provider Identifier
1699447672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11861
- Practice address
- 627 Old Trolley Rd Ste a
Summerville, SC 29485-5673 - Phone
- (800) 552-4357
- Fax
- (678) 388-9244
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11861 | SC | Primary |
Addresses
Primary practice location
627 Old Trolley Rd Ste a
Summerville, SC 29485-5673
Mailing address
627 Old Trolley Rd Ste a
Summerville, SC 29485-5673
Phone (800) 552-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435201 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
627 Old Trolley Rd
Suite a
Summerville, SC 29485-5673
627 Old Trolley Rd a
Summerville, SC 29485-5673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11861 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Counseling Services LLC | Mental Health | Current | Accepting new patients |
Locations
201 Sigma Dr
Ste 300
Summerville, SC 29486
Phone (843) 260-5361
627 Trolley Rd
Ste A
Summerville, SC 29485
Phone 8005524357109
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": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1699447672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 OLD TROLLEY RD STE A",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855673",
"telephone_number": "800-552-4357",
"fax_number": "678-388-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 OLD TROLLEY RD STE A",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855673",
"telephone_number": "800-552-4357",
"fax_number": "678-388-9244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "SHANYA",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "11861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "435201",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.