Active NPI
Charlotte E Garnes, LPC
- Professional Counselor
- Newport News, VA
National Provider Identifier
1104870302
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Feb 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005161
- Practice address
- 603 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601-1826 - Phone
- (704) 712-9071
- Fax
- (704) 248-2946
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5195 | NC | |
| Mental Health Counselor | 101YM0800X | 5195 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5195 | NC | |
| Professional Counselor | 101YP2500X | 0701005161 | VA | Primary |
| Mental Health Counselor | 101YM0800X | 0701005161 | VA |
Addresses
Primary practice location
603 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601-1826
Mailing address
PO Box 6661
Newport News, VA 23606-0661
Phone (704) 712-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103163 | Medicaid | NC |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005161 | VA | MD | Professional Counselor |
| 5195 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1104870302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6661",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236060661",
"telephone_number": "704-712-9071",
"fax_number": "704-248-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 J CLYDE MORRIS BLVD",
"address_2": "STE 4",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011826",
"telephone_number": "704-712-9071",
"fax_number": "704-248-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNES",
"first_name": "CHARLOTTE",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5195",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "5195",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "5195",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005161",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701005161",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103163",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.