Individual provider

Latasha Mcilwaine, MA, MHA, LPC, LCAS

Professional Counselor Counselor Addiction (Substance Use Disorder) Counselor Medicare enrolled

Latasha Mcilwaine, MA, MHA, LPC, LCAS is a Professional Counselor in Charlotte, NC, registered under NPI 1063631331. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1409 EAST BLVD SUITE 6B, Charlotte, NC 28203. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1409 EAST BLVD SUITE 6B, Charlotte, NC 28203 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6691 NC Professional Counselor primary
1296 NC Addiction (Substance Use Disorder)…

This provider holds licence 6691 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
2163868753

Enrolled in Medicare 6 times, across 6 states:

StateEnrollment IDProvider type
North Carolina I20240305004181 Practitioner - Mental Health Counselor
Georgia I20240708001759 Practitioner - Mental Health Counselor
New Hampshire I20250210002393 Practitioner - Mental Health Counselor
Texas I20250709001919 Practitioner - Mental Health Counselor
Arizona I20250723003503 Practitioner - Mental Health Counselor
Massachusetts I20250911004743 Practitioner - Mental Health Counselor

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. There are 6 separate enrolment records across 6 states (NC, GA, NH, TX, AZ, MA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 6691 NC primary
101Y00000X Counselor
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 1296 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063631331 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 25, 2007
Last updatedMar 28, 2009
StatusActive
Sole proprietorYes
CredentialMA, MHA, LPC, LCAS
Practice address 1409 EAST BLVD
SUITE 6B
Charlotte, NC 28203
(704) 340-4666
Fax (704) 969-7298
Mailing address PO BOX 743
Paw Creek, NC 28130
Other identifiers 6103719 · Medicaid (NC)
This record was last updated on Mar 28, 2009, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063631331 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 3 1 3 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 3 2 3 6

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063631331?
NPI 1063631331 is the National Provider Identifier assigned to Latasha Mcilwaine, MA, MHA, LPC, LCAS in Charlotte, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Latasha Mcilwaine, MA, MHA, LPC, LCAS?
The phone number on file with NPPES is (704) 340-4666, last updated Mar 28, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Latasha Mcilwaine, MA, MHA, LPC, LCAS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063631331 a valid number?
Yes. 1063631331 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.