Active NPI
Barbara Blackmore Birge, PHD, LPC, NCC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1174790448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2624
- Practice address
- 1406 Redcoat Dr
Charlotte, NC 28211-4303 - Phone
- (704) 364-1415
- NPI assigned
- May 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2624 | NC | Primary |
Addresses
Primary practice location
1406 Redcoat Dr
Charlotte, NC 28211-4303
Mailing address
1406 Redcoat Dr
Charlotte, NC 28211-4303
Phone (704) 364-1415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12285 | Other | NC | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2624 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1174790448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 REDCOAT DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114303",
"telephone_number": "704-364-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 REDCOAT DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114303",
"telephone_number": "704-364-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRGE",
"first_name": "BARBARA",
"middle_name": "BLACKMORE",
"name_prefix": "Dr.",
"credential": "PHD, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12285",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.