Individual provider Active NPI

Leah Christine Barnes, LCMHC

  • Mental Health Counselor
  • Matthews, NC
National Provider Identifier
1609948595
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10371 Issued in NC
Practice address
4052 Ancestry Cir
Matthews, NC 28104-7601
Phone
(904) 803-3350
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10371 NC Primary
Mental Health Counselor 101YM0800X MH 9143 FL

Addresses

Primary practice location

4052 Ancestry Cir
Matthews, NC 28104-7601

Mailing address

4052 Ancestry Cir
Matthews, NC 28104-7601
Phone (904) 803-3350

Other identifiers 1

IdentifierTypeStateIssuer
768736200MedicaidFL

Other names 1

  • Leah Christine Witt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 9143FLMDMental Health Counselor
10371NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Counseling and Supervision PLLC Mental Health CurrentSince May 28, 2023 Accepting new patients

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1609948595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 ANCESTRY CIR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281047601",
            "telephone_number": "904-803-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 ANCESTRY CIR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281047601",
            "telephone_number": "904-803-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LEAH",
        "middle_name": "CHRISTINE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-05-26",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10371",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768736200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WITT",
            "middle_name": "CHRISTINE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.