Shaniqua Celess Burnette, MS,LCMHC, LCASA, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14443 Issued in NC

Practice address

3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823

Phone

(704) 364-3989

NPI assigned

Nov 28, 2018

Last updated

May 8, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Family First Community Services LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1891091641
  NPD (past)
• Family First Community Services, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1780871293

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1740750249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 LATROBE DR STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114823",
            "telephone_number": "704-364-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 LATROBE DR STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114823",
            "telephone_number": "704-364-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "SHANIQUA",
        "middle_name": "CELESS",
        "credential": "MS,LCMHC, LCASA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCASA25077",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14443",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265540884",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lee Tinney Burnett, MA, LPCA
• Samantha Burnett
• Sharrika Burnett
• Jeffrey Burnette
• Karla Anne Burnette, PHARMD
• Steva Chamlas Burnette, LCSW-A
• Heather M. Burney, MD
• Brenna Burns
• Deanna E Burns, NP
• Elliott Taylor Burns, DDS

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, 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 May 8, 2023; 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.