Active NPI
Daria Barksdale, LCMHC
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1518469204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13781
- Practice address
- 200 Davis Park Rd
Gastonia, NC 28052-0116 - Phone
- (704) 866-6618
- Fax
- (704) 874-9001
- NPI assigned
- Mar 8, 2018
- 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 | 13781 | NC | Primary |
Addresses
Primary practice location
200 Davis Park Rd
Gastonia, NC 28052-0116
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Other practice location 1
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone (704) 865-3525
Other practice location 2
213 Patton Dr Ste A
Shelby, NC 28150-4696
Phone (704) 466-3022
Other names 1
- Daria Fowler
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc. | Past | Accepting new patients | |
| Inner Healing Solutions, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kintegra at HH Beam Elementary
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1275195679
-
dba Amia C. Briscoe MA, LPC
- Mental Health Counselor
- Shelby, NC
- NPI 1730697475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1518469204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DAVIS PARK RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280520116",
"telephone_number": "704-866-6618",
"fax_number": "704-874-9001"
}
],
"practiceLocations": [
{
"address_1": "10130 Mallard Creek Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282626001",
"country_code": "US",
"telephone_number": "704-865-3525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 Patton Dr Ste A",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281504696",
"country_code": "US",
"telephone_number": "704-466-3022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKSDALE",
"first_name": "DARIA",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-08",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARIA",
"last_name": "FOWLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.