Active NPI
Barjohn Amos, CPSS
- Peer Specialist
- Charlotte, NC
National Provider Identifier
1760194997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- M2021-8471-01
- Practice address
- 9618 Chimney Springs PL
Charlotte, NC 28269-0407 - Phone
- (704) 755-5226
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | M2021-8471-01 | NC | Primary |
Addresses
Primary practice location
9618 Chimney Springs PL
Charlotte, NC 28269-0407
Mailing address
9618 Chimney Springs PL
Charlotte, NC 28269-0407
Phone (704) 222-0530
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | barjohn@solidshe.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2021-8471-01 | NC | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1760194997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9618 CHIMNEY SPRINGS PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690407",
"telephone_number": "704-222-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 CHIMNEY SPRINGS PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690407",
"telephone_number": "704-755-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "BARJOHN",
"credential": "CPSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NC",
"license": "M2021-8471-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "barjohn@solidshe.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9618 Chimney Springs Pl",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282690407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.