Individual provider Active NPI

Dentavius Lamarn Barber, LPC, LCASA

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1497065015
Registry record updated Mar 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8231 Issued in NC
Practice address
5855 Executive Center Dr
Suite 111
Charlotte, NC 28212-8883
Phone
(704) 537-1202
NPI assigned
Oct 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8231 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 2396-A NC
Mental Health Counselor 101YM0800X 8231 NC Primary

Addresses

Primary practice location

5855 Executive Center Dr
Suite 111
Charlotte, NC 28212-8883

Mailing address

2071 Mallard Creek Dr
Rock Hill, SC 29732-7549
Phone (803) 487-8676

Other identifiers 1

IdentifierTypeStateIssuer
6115040MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260111000106 NC Practitioner - Mental Health Counselor 6608352547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Billingsley Rd
Charlotte, NC 28211-1072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2396-ANCMDAddiction (Substance Use Disorder) Counselor
8231NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anuvia Prevention & Recovery, Center, Inc. Addiction (Substance Use Disorder) CurrentSince Oct 3, 2025 Accepting new patients

Locations

429 Billingsley Rd
Charlotte, NC 28211
Phone (704) 336-2023

100 Billingsley Rd
Charlotte, NC 28211
Phone (704) 376-7447

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362268800000",
    "number": "1497065015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 MALLARD CREEK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327549",
            "telephone_number": "803-487-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 EXECUTIVE CENTER DR",
            "address_2": "SUITE 111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128883",
            "telephone_number": "704-537-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "DENTAVIUS",
        "middle_name": "LAMARN",
        "credential": "LPC, LCASA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2013-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8231",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2396-A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.