Renee Jacobsen Birch, LCMHC
Individual provider Active NPI Mental Health Counselor · Cornelius, NC
NPI 1194438820 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1194438820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13968 (NC)
- Practice address
- 17015 Kenton Dr
Cornelius, NC 28031-5661 - Phone
- (704) 970-2471
- NPI assigned
- Dec 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13968 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13968 | NC | Yes |
Addresses
Primary practice location
17015 Kenton Dr
Cornelius, NC 28031-5661
Mailing address
9517 Guildbrook Rd
Davidson, NC 28036-9613
Phone (704) 970-2471
Other practice location 1
5950 Fairview Rd
Charlotte, NC 28210-3104
Phone (704) 970-2471
Other providers in Cornelius, NC
- Essie Benton
- Raluca Berger
- Amy Frank Bernstein
- Melissa Bielec
- Christina Blair Billman
- Abigail Blakley
- Andrew Deaton Blodgett
- Bloomstead Counseling PLLC
- Blue Heel Consulting LLC
- Bluestone Psychotherapy
All providers in Cornelius, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.