MRS. MARY MUTHONI BARINE LPC NPI 1003003039

Counselor (Mental Health) in Wake Forest, NC

About MARY BARINE

Mary Barine is a provider in Wake Forest, NC. The NPI number assigned to this provider is 1003003039. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003003039 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMRS. MARY MUTHONI BARINE LPC
Provider Location Address916 WINDEMERE LN WAKE FOREST, NC 27587 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address916 WINDEMERE LN WAKE FOREST, NC 27587 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-03-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-27-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MRS. MARY MUTHONI BARINE LPC
916 WINDEMERE LN
WAKE FOREST, NC
ZIP 27587
Phone: (919) 562-7713
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Mailing Address

MRS. MARY MUTHONI BARINE LPC
916 WINDEMERE LN
WAKE FOREST, NC
ZIP 27587
Phone: (919) 562-7713

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.6689
License StateNC

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
6103715MEDICAID (05)NC

Map Location


MRS. MARY MUTHONI BARINE LPC address is 916 WINDEMERE LN WAKE FOREST, NC 27587

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346437365MR. STEPHEN KIRUJA BARINE LPC
Individual
Counselor (Mental Health)916 WINDEMERE LN
WAKE FOREST, NC 27587
(919) 562-7713
1457520702BAMYLINE FAMILY SERVICES
Organization
Community/Behavioral Health916 WINDEMERE LN
WAKE FOREST, NC 27587
(919) 426-7072