Savannah G Barnette, LMFTA
Individual provider Active NPI Marriage & Family Therapist · Charlotte, NC
NPI 1558021253 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1558021253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 12372A (NC)
- Practice address
- 10440 Park Rd Ste 300
Charlotte, NC 28210-8544 - Phone
- (980) 237-4766
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241127001638 | NC | Practitioner - Marriage and Family Therapist | 4789119967 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12372A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Family Behavioral Health Acquisition Group PLLC | Current |
Accepting new patients |
Locations
10440 Park Rd
Ste 300
Charlotte, NC 28210
Phone (980) 237-4766
10420 Park Rd
Ste 300
Charlotte, NC 28210
Phone (980) 237-4766
10420 Park Rd
Charlotte, NC 28210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12372A | NC | Yes |
Addresses
Primary practice location
10440 Park Rd Ste 300
Charlotte, NC 28210-8544
Mailing address
4901 Water Oak Rd Apt 16
Charlotte, NC 28211-2455
Phone (704) 778-6790
Other providers in Charlotte, NC
- Adrienne Diane Barnette
- Julie Barnette
- Lashonda Barnette
- Phyllis Barnette
- Ranesha Barnette
- Zeryl Wilson Barnette
- Cynthia Whitley Barnhardt
- Brittany Barnhouse
- Erin Collins Barnobi
- Geoff Barnum
All providers in Charlotte, NC · Marriage & Family Therapist 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 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.