Individual provider Active NPI

Kateryna Barnes, LPC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1033744321
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7662 Issued in SC
Practice address
37 Villa Rd Ste 206
Greenville, SC 29615-3040
Phone
(864) 735-8439
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015035423 MO
Professional Counselor 101YP2500X 7662 SC Primary

Addresses

Primary practice location

37 Villa Rd Ste 206
Greenville, SC 29615-3040

Mailing address

37 Villa Rd Ste 206
Greenville, SC 29615-3040
Phone (864) 735-8439

Other practice location 1

225 S Meramec Ave Ste 932T
Saint Louis, MO 63105-3518
Phone (888) 726-7170

Other names 1

  • Kateryna Slyeptsova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 4, 2024 through Jul 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2015035423MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1033744321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 VILLA RD STE 206",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153040",
            "telephone_number": "864-735-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VILLA RD STE 206",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153040",
            "telephone_number": "864-735-8439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Meramec Ave Ste 932T",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631053518",
            "country_code": "US",
            "telephone_number": "888-726-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KATERYNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015035423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERYNA",
            "last_name": "SLYEPTSOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.