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KIARA SHARNESE REDICE LCMHCA
NPI 1639764533
Counselor - Mental Health in Charlotte, NC

Active since March 03, 2021PECOS EnrolledAccepts Medicare Assignment
233 S. AMITY RD, STE 102, CHARLOTTE, NC 28211(980) 613-8474 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kiara Sharnese Redice Lcmhca NPPES

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

KIARA SHARNESE REDICE LCMHCA (NPI 1639764533) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A16284) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639764533
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIARA SHARNESE REDICECredential: LCMHCA
Location Address233 S. AMITY RD, STE 102Charlotte, NC 28211-2821
Mailing Address1224 Long Paw LnCharlotte, NC 28214-9417 · (704) 617-4306
Phone(980) 613-8474
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 3, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1639764533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A16284
233 S. AMITY RD, Charlotte, NC 28211
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiara Sharnese Redice Lcmhca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729504527
PECOS Enrollment IDI20250424001856
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.

Medicare Billing Reassignment

Medicare enrollment records show Kiara Redice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Safe Haven Child And Family Counseling Services,llc
5.2 mi
Community/Behavioral Health
233 S SHARON AMITY RD STE 102
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1851590558 (704) 763-9555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kiara Redice's NPI number?

The NPI number for Kiara Redice is 1639764533. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Kiara Redice located?

Kiara Redice practices at 233 S. Amity Rd Ste 102, Charlotte, NC 28211. The listed phone number is (980) 613-8474.

What is Kiara Redice's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kiara Redice enrolled in Medicare?

Yes. Kiara Redice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kiara Redice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiara Redice reassigns Medicare benefits to Safe Haven Child And Family Counseling Services,llc (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiara Redice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiara Redice was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.