Individual provider Active NPI

Mattie Barnes Branch

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1609001775
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001207-1 Issued in NY
Practice address
2413 Crabtree Blvd Ste 107
Raleigh, NC 27604-2299
Phone
(919) 899-6740
Fax
(919) 899-6741
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001207-1 NY Primary

Addresses

Primary practice location

2413 Crabtree Blvd Ste 107
Raleigh, NC 27604-2299

Mailing address

2413 Crabtree Blvd Ste 107
Raleigh, NC 27604-2299
Phone (919) 899-6740

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

LicenseStateTypeSpecialty
001207-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1609001775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 CRABTREE BLVD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042299",
            "telephone_number": "919-899-6740",
            "fax_number": "919-899-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 CRABTREE BLVD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042299",
            "telephone_number": "919-899-6740",
            "fax_number": "919-899-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "MATTIE",
        "middle_name": "BARNES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001207-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.