Kiara Sharnese Redice, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16284 Issued in NC

Practice address

233 S. Amity Rd
Ste 102
Charlotte, NC 28211-2821

Phone

(980) 613-8474

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Haven Child and Family Counseling Services LLCGroup PAC ID 7113005885, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Safe Haven Child and Family Counseling Services,LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1851590558
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1639764533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 LONG PAW LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149417",
            "telephone_number": "704-617-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S. AMITY RD",
            "address_2": "STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112821",
            "telephone_number": "980-613-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDICE",
        "first_name": "KIARA",
        "middle_name": "SHARNESE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinisha Reddy, DO
• Redemption Eternal LLC
• Redemption Outreach Community Services
• Anthony TC Redfearn, LMFT/LPC/LCAS
• Debra Redfern, RN, CCM, QRP
• Redlak Recovery Center, PLLC
• Angela Sabina Redlak-Olcese, PSY.D.
• Redliner LLC
• Claire Redmon, DPT
• Jacquelyn Sydney Redmond, MS, LCAS, LCMHC, CSI

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.