Individual provider Active NPI

Mary Muthoni Barine, LPC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1003003039
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6689 Issued in NC
Practice address
916 Windemere LN
Wake Forest, NC 27587-9562
Phone
(919) 562-7713
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6689 NC Primary

Addresses

Primary practice location

916 Windemere LN
Wake Forest, NC 27587-9562

Mailing address

916 Windemere LN
Wake Forest, NC 27587-9562
Phone (919) 562-7713

Other identifiers 1

IdentifierTypeStateIssuer
6103715MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6689NCMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Care Centers, North Carolina, PLLC Mental Health PastSince May 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mpsc.marybarine@114018.advancedmd-direct.com

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1003003039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WINDEMERE LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879562",
            "telephone_number": "919-562-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WINDEMERE LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879562",
            "telephone_number": "919-562-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARINE",
        "first_name": "MARY",
        "middle_name": "MUTHONI",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103715",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.