Phyllis Barnette, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2109 Issued in NC

Practice address

5421 Coburg Ave
Charlotte, NC 28215-2203

Phone

(704) 231-1469

Fax

(704) 568-6587

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

Yes

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.

• Anuvia Prevention & Recovery, Center, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1093756819

  Addiction (Substance Use Disorder)

  NPD (past)
• Anuvia Prevention and Recovery Center, Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1154706307
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2013.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1508293242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 43686",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151985",
            "telephone_number": "704-231-1469",
            "fax_number": "704-568-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 COBURG AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152203",
            "telephone_number": "704-231-1469",
            "fax_number": "704-568-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETTE",
        "first_name": "PHYLLIS",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Barnett, MSN, ACNS-BC, AGNP-C
• Kristen Elaine Barnette-Fetty, AGNP-C
• Adrienne Diane Barnette, LPC
• Julie Barnette
• Lashonda Barnette, NP
• Ranesha Barnette
• Savannah G Barnette, LMFTA
• Zeryl Wilson Barnette, RPH
• Cynthia Whitley Barnhardt, NP
• Brittany Barnhouse

• All providers in Charlotte, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.