Individual provider Active NPI

Charlotte E Garnes, LPC

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1104870302
Registry record updated Jul 31, 2012
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005161 Issued in VA
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

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6103163MedicaidNC

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0701005161VAMDProfessional Counselor
5195NCMDMassage 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

Verify at the official NPI Registry.