Active NPI
Mary Elizabeth Barrett, LPCA
- Professional Counselor
- Fort Mill, SC
National Provider Identifier
1215767017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9151
- Practice address
- 117 Spratt St
Fort Mill, SC 29715-4100 - Phone
- (704) 931-1010
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9151 | SC | Primary |
Addresses
Primary practice location
117 Spratt St
Fort Mill, SC 29715-4100
Mailing address
117 Spratt St
Fort Mill, SC 29715-4100
Phone (704) 931-1010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9151 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Family Behavioral Health Acquisition Group PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Charlotte, NC
- NPI 1770056038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1215767017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 SPRATT ST",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297154100",
"telephone_number": "704-931-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SPRATT ST",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297154100",
"telephone_number": "704-931-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "9151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.