ERICKA G JARVIS M.S., LCMHC
NPI 1669904009
Counselor - Mental Health in Charlotte, NC

Active since April 03, 2017PECOS Enrolled
4412 PARK RD STE B, CHARLOTTE, NC 28209(631) 416-1319 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Mar 5, 2026, Dec 11, 2024 (3 updates tracked since 2024).

About Ericka G Jarvis M.s., Lcmhc NPPES

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

ERICKA G JARVIS M.S., LCMHC (NPI 1669904009) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (20501) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669904009
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameERICKA G JARVISCredential: M.S., LCMHC
Location Address4412 PARK RD STE BCharlotte, NC 28209-3130
Mailing Address4412 Park Rd Ste BCharlotte, NC 28209-3130
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1669904009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 20501
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 12115 (SC)
4412 PARK RD STE B, Charlotte, NC 28209

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ericka G Jarvis M.s., Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587131172
PECOS Enrollment IDI20260501000422
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 8

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

Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Counselor (Mental Health)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Counselor (Mental Health)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Nurse Practitioner (Psychiatric/Mental Health)
4412 PARK RD STE B
CHARLOTTE, NC 28209

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 Ericka Jarvis's NPI number?

The NPI number for Ericka Jarvis is 1669904009. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Ericka Jarvis located?

Ericka Jarvis practices at 4412 Park Rd Ste B, Charlotte, NC 28209. The listed phone number is (631) 416-1319.

What is Ericka Jarvis's specialty?

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

Is Ericka Jarvis enrolled in Medicare?

Yes. Ericka Jarvis is registered in the Medicare PECOS enrollment system.

What insurance does Ericka Jarvis accept?

Health plans from Blue Cross and Blue Shield of NC list Ericka Jarvis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ericka Jarvis was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.