Debra Aase-Farnum, MA, LCMHCA

Individual provider Active NPI Mental Health Counselor · Charlotte, NC

NPI 1669395992 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1669395992
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
A23212 (NC)
Practice address
1816 E 7TH St
Charlotte, NC 28204-2416
Phone
(704) 426-3711
NPI assigned
Aug 3, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A23212 NC Yes

Addresses

Primary practice location

1816 E 7TH St
Charlotte, NC 28204-2416

Mailing address

1240 Burtonwood Cir
Charlotte, NC 28212-7011
Phone (980) 800-4224

Other providers in Charlotte, NC

All providers in Charlotte, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.