Marva Lewis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17955 Issued in NC

Practice address

5108 Reagan Dr Ste 14
Charlotte, NC 28206-1395

Phone

(704) 332-8787

NPI assigned

Aug 19, 2022

Last updated

Aug 19, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marva.lewis@ncg.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iamhonored Inc

  • PACE Provider Organization
  • Charlotte, NC
  • NPI 1073226726
  NPD Authorized official
• Iamhonored Inc

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1073227872
  NPD Authorized official
• Pivotal Health Solutions

  • Mental Health Counselor
  • Concord, NC
  • NPI 1669013041
  NPD
• Veritas Collaborative Charlotte, LLC

  dba The Emily Program

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1376057406
  NPD (past)
• Veritas Collaborative Charlotte, LLC

  dba The Emily Program

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1891330056
  NPD (past)
• Veritas Collaborative, LLC

  dba The Emily Program

  • Multi-Specialty Clinic/Center
  • Durham, NC
  • NPI 1184167793
  NPD (past)
• Veritas Collaborative, LLC

  dba The Emily Program

  • Psychiatric Hospital
  • Durham, NC
  • NPI 1376817593
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1649998246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WESTBURY LAKE DR APT Q",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692244",
            "telephone_number": "334-655-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR STE 14",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061395",
            "telephone_number": "704-332-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Westbury Lake Dr Apt Q",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282692244",
            "country_code": "US",
            "telephone_number": "334-655-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARVA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marva.Lewis@ncg.com",
            "affiliation": "N",
            "address_1": "5108 Reagan Dr Ste 14",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282061395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lebra N Lewis
• Lindsay Gibeault Lewis, D.O.
• Magdalina Lewis, LCSW, ACSW
• Margaret Ruffin Lewis, MD
• Marianne D Lewis, APRN-BC
• Michele Adriane Lewis
• Morgan Lewis
• Nicholle Lewis, PT, DPT
• Patricia Marie Lewis, PA-C
• Phinix C Lewis Jr.

• 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 Aug 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.