Belisa Fasha Kershaw, LCMHC
Counselor, Mental Health in Fayetteville, NC. Individual provider (NPI-1).
NPI number1669933917
StatusActive
Last updated in NPPESMay 2, 2022
Details
- NPI
- 1669933917
- Entity type
- Individual (NPI-1)
- Name
- Belisa Fasha Kershaw
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2019
- Certification date
- May 2, 2022
- Last updated
- May 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 14726 | NC | Yes |
| 101YP2500X | Counselor, Professional | 14726 | NC |
Practice location
901 Arsenal Ave Ste 202Fayetteville, NC 28305-5478
Phone 910-323-3368 · Fax 910-486-7000
Mailing address
901 Arsenal Ave Ste 202Fayetteville, NC 28305-5478
Phone 910-323-3368 · Fax 910-486-7000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 355 Mental Health Counselor providers in Fayetteville · All 9,765 providers in Fayetteville
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