Charlene Yvette Melvin-Shaw, MS, LCMHC-A, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21509 Issued in NC

Practice address

1310 Raeford Rd Ste 1
Fayetteville, NC 28305-5086

Phone

(910) 485-6336

NPI assigned

Jul 31, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Verna Dority, MSW, CCSW, Inc

  dba Carolina Counseling Services

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1396984225
  NPD (past)

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1760365183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SAND HILL RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489566",
            "telephone_number": "910-779-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 RAEFORD RD STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055086",
            "telephone_number": "910-485-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN-SHAW",
        "first_name": "CHARLENE",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, LCMHC-A, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melrose Center
• Gwenesta Barnum Melton, M.D.
• Kenneth Melton, M.D.
• Krista S Melton, MSW,LCSW-A
• Morton Meltzer, M.D.
• Bettina Rochelle Melvin
• David Craig Melvin, PHARMD
• Erica Melvin
• Gina Rochele Melvin
• Mekesha Deshay Melvin, HAIR LOSS SPECIALIS

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.