Active NPI
Avery Lee Barber Jr., M.ED., LPC
- Mental Health Counselor
- Salisbury, NC
National Provider Identifier
1669481693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 088
- Practice address
- 627 W Innes St
Ste 309
Salisbury, NC 28144-4101 - Phone
- (704) 633-4001
- Fax
- (360) 838-9606
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 088 | NC | Primary |
Addresses
Primary practice location
627 W Innes St
Ste 309
Salisbury, NC 28144-4101
Mailing address
627 W Innes St
Ste 309
Salisbury, NC 28144-4101
Phone (704) 633-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13148 | Other | NC | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669481693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 W INNES ST",
"address_2": "STE 309",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444101",
"telephone_number": "704-633-4001",
"fax_number": "360-838-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 W INNES ST",
"address_2": "STE 309",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444101",
"telephone_number": "704-633-4001",
"fax_number": "360-838-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBER",
"first_name": "AVERY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "13148",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.