ERICKA GENESIS JARVIS M.S., LCMHC
NPI 1669904009
Counselor - Mental Health in Charlotte, NC
About Ericka Genesis Jarvis M.s., Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICKA GENESIS 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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ericka Genesis Jarvis M.s., Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ericka Jarvis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- 712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Ericka Jarvis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ericka Jarvis reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Ericka Jarvis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ericka Jarvis accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare 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 October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Ericka Genesis Jarvis, M.S., LCMHC · NPI 1669904009
Mental Health provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1669904009 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 20501 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4412 PARK RD STE B, Charlotte, NC 28209-3130
- **Phone:** (631) 416-1319
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669904009) · Data from the CMS NPPES public registry.