KARISSA LYN BIRTLES
NPI 1619648714
Psychologist in Fayetteville, NC

Active since September 28, 2021PECOS Enrolled
806 HAY ST, FAYETTEVILLE, NC 28305(910) 860-7008(910) 824-7593 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karissa Lyn Birtles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARISSA LYN BIRTLES (NPI 1619648714) is an individual psychologist in Fayetteville, North Carolina and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619648714
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKARISSA LYN BIRTLES
Location Address806 HAY STFayetteville, NC 28305-5312
Mailing Address806 Hay StFayetteville, NC 28305-5312 · (910) 860-7008 · Fax (910) 824-7593
Fax(910) 824-7593
Sole ProprietorYes
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
NPI 1619648714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
806 HAY ST, Fayetteville, NC 28305

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Karissa Lyn Birtles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
806 HAY ST
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
806 HAY ST
FAYETTEVILLE, NC 28305
Physician Assistant
806 HAY ST
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
806 HAY ST
FAYETTEVILLE, NC 28305
Nurse Practitioner (Psychiatric/Mental Health)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karissa Birtles's NPI number?

The NPI number for Karissa Birtles is 1619648714. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Karissa Birtles located?

Karissa Birtles practices at 806 Hay St, Fayetteville, NC 28305. The listed phone number is (910) 860-7008.

What is Karissa Birtles's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Karissa Birtles enrolled in Medicare?

Yes. Karissa Birtles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karissa Birtles was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.