Individual provider Active NPI

Justin Barnes

  • Mental Health Counselor
  • Huntersville, NC
National Provider Identifier
1780299073
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15906 Issued in NC
Practice address
10105 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3421
Phone
(704) 266-4208
Fax
(866) 876-6809
NPI assigned
Sep 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X A15906 NC
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A15906 NC Primary

Addresses

Primary practice location

10105 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3421

Mailing address

531 Brentwood Rd Ste 308
Denver, NC 28037-0269
Phone (704) 266-2408

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240522003751 NC Practitioner - Mental Health Counselor 7113369166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Counseling and Consulting Services PLLCGroup PAC ID 3274942701, 8 clinicians

Practice addresses (Care Compare)

16325 Northcross Dr
Suite F
Huntersville, NC 28078-5044
Phone (704) 266-4208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A15906NCMDProfessional Counselor
15906NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Counseling and Consulting Services, PLLC Professional CurrentSince May 8, 2024 Accepting new patients

Locations

531 Brentwood Rd
Denver, NC 28037
Phone (704) 310-1480

10105 Hickorywood Hill Ave
Ste B
Huntersville, NC 28078
Phone (704) 266-4208

16325 Northcross Dr
Ste F
Huntersville, NC 28078
Phone (704) 266-4208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1780299073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 BRENTWOOD RD STE 308",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370269",
            "telephone_number": "704-266-2408",
            "fax_number": "866-876-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 HICKORYWOOD HILL AVE STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783421",
            "telephone_number": "704-266-4208",
            "fax_number": "866-876-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15906",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.